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1649401258
GREAT LAKES PAIN SPECIALISTS, LLC
FRANKLIN, WI
NPI
1649401258
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Entity Type
Organization
Authorized Contact
TIMOTHY STAACKE
Partner
262-787-4026
Organization Subpart ?
No
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
Enumeration Date
2009-07-30
Last Update Date
2009-07-30
Business Address
GREAT LAKES PAIN SPECIALISTS, LLC
8153 S 27TH ST
FRANKLIN, WI 53132-7012
Phone number: 414-761-1802
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Mailing Address
GREAT LAKES PAIN SPECIALISTS, LLC
225 S EXECUTIVE DR
BROOKFIELD, WI 53005-4257
Phone number: 262-787-4026
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