Organization
ADVANCED PAIN MANAGEMENT SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISHAL LAL (AUTHORIZED REPRESENTATIVE)
(414) 325-7246
Entity
Organization
Contact information
Practice address
1604 MADISON AVE, FORT ATKINSON, WI 53538-3101
(414) 325-7246
Mailing address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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