WISCONSIN SPINE AND PAIN SC

SHEBOYGAN, WI
NPI1790309276
Entity TypeOrganization
Authorized ContactMICHAEL W JUNG
Owner
414-455-1153
Organization Subpart ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
Enumeration Date2020-06-01
Last Update Date2024-09-27
Business Address
WISCONSIN SPINE AND PAIN SC
2124 KOHLER MEMORIAL DR STE 110
SHEBOYGAN, WI 53081-3174
Phone number: 920-204-6758
Mailing Address
WISCONSIN SPINE AND PAIN SC
DEPT CH 17057
PALATINE, IL 60055-7057
Phone number: 414-455-1153