Organization
CENTER FOR PAIN MANAGEMENT, SC
Active
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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