Organization
LAKESHORE PAIN AND SPINE CENTER LLC
Active
Other names
LAKESHORE PAIN AND SPINE CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY SILVA MD (OWNER/MD)
(262) 484-4035
Entity
Organization
Contact information
Practice address
7201 GREEN BAY RD, KENOSHA, WI 53142-3532
(312) 519-9936
Mailing address
7201 GREEN BAY RD, KENOSHA, WI 53142-3532
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
08/02/2021
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