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Organization

WISCONSIN SPINE AND PAIN SC

Active
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Organization

WISCONSIN SPINE AND PAIN SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL JUNG MD (OWNER)
(608) 710-8162
Entity
Organization

Contact information

Practice address
2595 DEVELOPMENT DRIVE, STE 150, GREEN BAY, WI 54311-4267
(920) 204-6758
Mailing address
DEPT. CH 17057, PALATINE, IL 60055-7057
(920) 204-6758

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/27/2024
Last updated
09/27/2024
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