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Organization

PAIN CENTERS OF WISCONSIN-FRANKLIN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VISHAL LAL (CHIEF EXECUTIVE OFFICER)
(414) 325-7246
Entity
Organization

Contact information

Practice address
4202 W OAKWOOD PARK CT, FRANKLIN, WI 53132-9118
(414) 421-6002
(414) 421-6008
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
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100010110
WI
Enumeration date
09/29/2009
Last updated
11/28/2016
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