Organization
PIBCOA
Active
Parent organization
THE PAIN, INJURY AND BRAIN CENTERS OF AMERICA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PAIN, INJURY AND BRAIN CENTERS OF AMERICA, LLC
Authorized official
MRS. DANA J BAUER (ELECTRO-TOXICOLOGIST)
(715) 672-2000
Entity
Organization
Contact information
Practice address
1101 W CLAIREMONT AVE, UNIT 1G, EAU CLAIRE, WI 54701-4503
(715) 672-2000
(715) 672-3262
Mailing address
1101 W CLAIREMONT AVE, UNIT 1G, EAU CLAIRE, WI 54701-4503
(715) 672-2000
(715) 672-3262
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
123870-30
WI
Other
Enumeration date
07/29/2011
Last updated
01/06/2012
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