Organization
INTEGRATIVE PAIN MANAGEMENT SC
Active
Parent organization
INTEGRATIVE PAIN MANAGEMENT, SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATIVE PAIN MANAGEMENT, SC
Authorized official
JOHN JOSEPH (OWNER)
(920) 532-9117
Entity
Organization
Contact information
Practice address
3108 MID VALLEY DR, DE PERE, WI 54115-9436
(920) 532-9117
Mailing address
3108 MID VALLEY DR, DE PERE, WI 54115-9436
(920) 532-9117
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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