| NPI | 1568682318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON L MORTENSEN Partner 414-325-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |