# WATERTOWER PAIN CONSULTANTS, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053389544
- **Authorized official:** STEPHEN DONATELLO MD (PRESIDENT)
- **Authorized official phone:** (414) 962-6700

## Contact information

- **Practice address:** 575 W RIVER WOODS PKWY, \#205, GLENDALE, WI 53212-1003
- **Practice address phone:** (414) 962-6700
- **Mailing address:** 575 W RIVER WOODS PKWY, \#205, GLENDALE, WI 53212-1003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 10/09/2008