Organization
GREATER MILWAUKEE PAIN CLINIC LTD
Active
Organization
GREATER MILWAUKEE PAIN CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ALLAN KOSTUSAK D.C. (PRESIDENT)
(414) 327-6767
Entity
Organization
Contact information
Practice address
10817 W LINCOLN AVE, WEST ALLIS, WI 53227-1127
(414) 327-6767
Mailing address
10817 W LINCOLN AVE, WEST ALLIS, WI 53227-1127
(414) 327-6767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up