Organization
PAIN CENTERS OF WISCONSIN - KENOSHA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISHAL LAL (CEO)
(414) 325-7246
Entity
Organization
Contact information
Practice address
9697 SAINT CATHERINES DR, STE 102, PLEASANT PRAIRIE, WI 53158-2118
(414) 325-7246
Mailing address
9697 SAINT CATHERINES DR, STE 102, PLEASANT PRAIRIE, WI 53158-2118
(414) 325-7246
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2011
Last updated
10/24/2016
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