Organization
ADVANCED PAIN MANAGEMENT, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISHAL LAL (CEO)
(414) 325-7246
Entity
Organization
Contact information
Practice address
1813 WILLOW ST, SUITE 4D, VINCENNES, IN 47591-4276
(812) 316-0601
Mailing address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
08/24/2016
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