WISCONSIN SPINE AND PAIN SC

GREEN BAY, WI
NPI1649098856
Entity TypeOrganization
Authorized ContactMICHAEL JUNG
Owner
608-710-8162
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2024-09-27
Last Update Date2024-09-27
Business Address
WISCONSIN SPINE AND PAIN SC
2595 DEVELOPMENT DRIVE, STE 150
GREEN BAY, WI 54311-4267
Phone number: 920-204-6758
Mailing Address
WISCONSIN SPINE AND PAIN SC
DEPT. CH 17057
PALATINE, IL 60055-7057
Phone number: 920-204-6758