Organization
PAIN MANAGEMENT CENTER OF WISCONSIN,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY ROSLER MD (PRESIDENT)
(414) 433-1000
Entity
Organization
Contact information
Practice address
4710 W LOOMIS RD, GREENFIELD, WI 53220-4823
(414) 433-1000
(414) 433-0195
Mailing address
4710 W LOOMIS RD, GREENFIELD, WI 53220-4823
(414) 433-1000
(414) 433-0195
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32769600
—
WI
Enumeration date
03/15/2007
Last updated
08/22/2020
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