Organization
WAUWATOSA PAIN MANAGEMENT , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN HANSON (OWNER)
(414) 530-2477
Entity
Organization
Contact information
Practice address
6005 W NORTH AVE, WAUWATOSA, WI 53213-1527
(414) 530-2477
(414) 771-6311
Mailing address
6005 W NORTH AVE, WAUWATOSA, WI 53213-1527
(414) 530-2477
(414) 771-6311
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
07/02/2013
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