Organization
PAIN MANAGEMENT CONSULTANTS OF MILWAUKEE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN HEYDARPOUR M.D. (PRESIDENT)
(262) 780-0770
Entity
Organization
Contact information
Practice address
125 N EXECUTIVE DR, SUITE 108, BROOKFIELD, WI 53005-6070
(262) 780-0770
Mailing address
PO BOX 1413, BROOKFIELD, WI 53008-1413
(262) 780-0770
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
WI
Other
Enumeration date
12/17/2006
Last updated
04/16/2013
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