INTERGRATED PAIN AND SPINE CARE SC

MILWAUKEE, WI
NPI1457861007
Entity TypeOrganization
Authorized ContactWENDY KIRK
Credentialing Specialist
414-967-9000
Organization Subpart ?No
Primary Taxonomy111NR0400X 
(Licence: WI  3812-012)
Enumeration Date2017-10-10
Last Update Date2018-06-20
Business Address
INTERGRATED PAIN AND SPINE CARE SC
5261 N PORT WASHINGTON RD STE 100
MILWAUKEE, WI 53217-4903
Phone number: 414-967-9000
Mailing Address
INTERGRATED PAIN AND SPINE CARE SC
PO BOX 170181
GLENDALE, WI 53217-8016
Phone number: 414-967-9000