GREAT LAKES PAIN SPECIALISTS, LLC

FRANKLIN, WI
NPI1649401258
Entity TypeOrganization
Authorized ContactTIMOTHY STAACKE
Partner
262-787-4026
Organization Subpart ?No
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
Enumeration Date2009-07-30
Last Update Date2009-07-30
Business Address
GREAT LAKES PAIN SPECIALISTS, LLC
8153 S 27TH ST
FRANKLIN, WI 53132-7012
Phone number: 414-761-1802
Mailing Address
GREAT LAKES PAIN SPECIALISTS, LLC
225 S EXECUTIVE DR
BROOKFIELD, WI 53005-4257
Phone number: 262-787-4026