| NPI | 1770506669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHAL LAL CEO 414-325-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-10-24 |