Organization
JAMES A. BROSTROM
Active
Other names
Pain Care Radiology Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A BROSTROM (OWNER)
(262) 896-9661
Entity
Organization
Contact information
Practice address
1900 LAURA LN, WAUKESHA, WI 53186-2808
(262) 896-9661
(262) 896-9662
Mailing address
PO BOX 338, WAUKESHA, WI 53187-0338
(262) 896-9661
(262) 896-9662
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14650
WI
Other
Enumeration date
01/18/2007
Last updated
06/16/2008
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