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1649098856
WISCONSIN SPINE AND PAIN SC
GREEN BAY, WI
NPI
1649098856
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Entity Type
Organization
Authorized Contact
MICHAEL JUNG
Owner
608-710-8162
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2024-09-27
Last Update Date
2024-09-27
Business Address
WISCONSIN SPINE AND PAIN SC
2595 DEVELOPMENT DRIVE, STE 150
GREEN BAY, WI 54311-4267
Phone number: 920-204-6758
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Mailing Address
WISCONSIN SPINE AND PAIN SC
DEPT. CH 17057
PALATINE, IL 60055-7057
Phone number: 920-204-6758
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