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Organization

CENTER FOR PAIN MANAGEMENT, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NOSHEEN HASAN MD (OWNER)
(414) 444-8670
Entity
Organization

Contact information

Practice address
6200 W CENTER ST, MILWAUKEE, WI 53210-2159
(414) 444-8670
(414) 444-8678
Mailing address
PO BOX 13857, WAUWATOSA, WI 53213-0857
(414) 444-8670
(414) 444-8678

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
WI
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21273400
WI
Enumeration date
11/03/2005
Last updated
05/26/2017
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