| NPI | 1679119689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA L BEARDSLEY Admin 608-291-4866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-03-09 |