Organization
INTEGRATIVE PAIN MANAGEMENT SC
Active
Other names
Integrative Pain Management SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH MD (OWNER)
(920) 573-9030
Entity
Organization
Contact information
Practice address
3108 MID VALLEY DR, DE PERE, WI 54115-9436
(920) 532-9117
Mailing address
3108 MID VALLEY DR, DE PERE, WI 54115-9436
(920) 532-9117
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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