PAIN PHYSICIANS OF WISCONSIN, SC

KENOSHA, WI
NPI1447971684
Entity TypeOrganization
Authorized ContactKEVIN HOOKER
Hr
262-297-7246
Organization Subpart ?No
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2022-09-07
Last Update Date2022-09-14
Business Address
PAIN PHYSICIANS OF WISCONSIN, SC
10105 74TH ST
KENOSHA, WI 53142-7510
Phone number: 262-297-7246
Mailing Address
PAIN PHYSICIANS OF WISCONSIN, SC
2500 W LAYTON AVE STE 120
MILWAUKEE, WI 53221-5400
Phone number: 262-297-7246
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