Organization
CLINICAL PAIN CONSULTANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI ANN RICHBURG (PARTNER)
(414) 800-5359
Entity
Organization
Contact information
Practice address
2500 NORTH MAYFAIR ROAD, SUITE 325, WAUWATOSA, WI 53226
(414) 800-5359
(414) 800-6308
Mailing address
2500 NORTH MAYFAIR ROAD, SUITE 325, WAUWATOSA, WI 53226
(414) 800-5359
(414) 800-6308
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2016
Last updated
07/08/2024
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