# WISCONSIN HEALTH CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WISCONSIN HEALTH CENTER
- **Other names:** Pain Centers of Wisconsin - Waukesha
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336371020
- **Legal business name:** WISCONSIN HEALTH CENTER
- **Authorized official:** MR. VISHAL LAL (CEO)
- **Authorized official phone:** (414) 325-7246

## Contact information

- **Practice address:** 813 W. MORELAND BOULAVARD, WAUKESHA, WI 53188
- **Practice address phone:** (414) 325-7246
- **Practice address fax:** (414) 325-3720
- **Mailing address:** 4131 W LOOMIS RD, STE 300, GREENFIELD, WI 53221-2057
- **Mailing address phone:** (414) 325-7246
- **Mailing address fax:** (414) 325-3720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2009
- **Last updated:** 05/11/2010