Organization
PAIN CENTERS OF MINNESOTA - CHASKA, LLC
Active
Organization
PAIN CENTERS OF MINNESOTA - CHASKA, LLC
Active
Parent organization
APM WISCONSIN MSO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
APM WISCONSIN MSO, LLC
Authorized official
VISHAL LAL (AUTHORIZED REPRESENTATIVE)
(414) 325-7246
Entity
Organization
Contact information
Practice address
3000 HUNDERTMARK RD STE 200, CHASKA, MN 55318-1152
(414) 325-7246
(414) 325-3770
Mailing address
4131 W LOOMIS RD STE 300, GREENFIELD, WI 53221-2059
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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