Organization
WISCONSIN PAIN MANAGEMENT, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY G CONRARDY M.D. (AUTHORIZED OFFICIAL)
(262) 763-8000
Entity
Organization
Contact information
Practice address
1050 MILWAUKEE AVE, SUITE 102, BURLINGTON, WI 53105-1362
(262) 763-8000
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4257
(262) 787-4050
(262) 782-6040
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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