| NPI | 1487246427 |
|---|---|
| Former Legal Business Name | INTEGRATIVE PAIN MANAGEMENT SC |
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH Owner 920-573-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |