Organization
PAIN CENTERS OF WISCONSIN - STEVENS POINT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISHAL LAL (CEO)
(414) 325-3737
Entity
Organization
Contact information
Practice address
200 DIVISION ST, STE H, STEVENS POINT, WI 54481-1843
(414) 325-7246
(414) 325-3770
Mailing address
4131 W LOOMIS RD, STE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
10/24/2016
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