PAIN CENTERS OF WISCONSIN - BEAVER DAM, LLC

BEAVER DAM, WI
NPI1437419561
Entity TypeOrganization
Authorized ContactVISHAL LAL
CEO
414-325-7246
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2012-05-23
Last Update Date2016-10-24
Business Address
PAIN CENTERS OF WISCONSIN - BEAVER DAM, LLC
1701 N SPRING ST
BEAVER DAM, WI 53916-1178
Phone number: 414-325-7246
Mailing Address
PAIN CENTERS OF WISCONSIN - BEAVER DAM, LLC
4131 W LOOMIS RD STE 300
GREENFIELD, WI 53221-2057
Phone number: 414-325-7246