Organization
WAUKESHA PAIN CENTER LLC
Active
Parent organization
APM WISCONSIN MSO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
APM WISCONSIN MSO, LLC
Authorized official
VISHAL LAL (AUTHORIZED REPRESENTATIVE)
(414) 325-7246
Entity
Organization
Contact information
Practice address
813 W MORELAND BLVD, WAUKESHA, WI 53188-2963
(414) 325-7246
(414) 325-3770
Mailing address
4131 W LOOMIS RD STE 300, GREENFIELD, WI 53221-2059
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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