| NPI | 1619968120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOSHEEN HASAN Owner 414-444-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2017-05-26 |