Organization
KINETIC SPINE AND PAIN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR C WILLE MD (PRESIDENT & CEO)
(414) 232-7268
Entity
Organization
Contact information
Practice address
4491 N OAKLAND AVE, SHOREWOOD, WI 53211-1611
(414) 999-3815
Mailing address
4491 N OAKLAND AVE, SHOREWOOD, WI 53211-1611
(414) 999-3815
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
11/27/2024
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