Organization
GREAT MIDWEST PAIN SPECIALISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY T. FOLLANSBEE (OWNER)
(262) 617-7415
Entity
Organization
Contact information
Practice address
21150 W CAPITOL DR STE 4, BROOKFIELD, WI 53072-2909
(262) 366-0665
(262) 649-3226
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4257
(262) 787-4050
(262) 782-6040
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
32725
WI
Other
Enumeration date
11/22/2011
Last updated
09/22/2025
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