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Organization
WISCONSIN HEALTH CENTER LLC
Active
Organization
WISCONSIN HEALTH CENTER LLC
Active
Parent organization
WISCONSIN HEALTH CENTER
Other names
Pain Centers of Wisconsin - Waukesha
Organization subpart
Yes
Provider details
NPI number
Legal business name
WISCONSIN HEALTH CENTER
Authorized official
MR. VISHAL LAL (CEO)
(414) 325-7246
Entity
Organization
Contact information
Practice address
813 W. MORELAND BOULAVARD, WAUKESHA, WI 53188
(414) 325-7246
(414) 325-3720
Mailing address
4131 W LOOMIS RD, STE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
(414) 325-3720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/14/2009
Last updated
05/11/2010
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