Organization
PAIN CENTERS OF WISCONSIN-GREEN BAY, LLC
Active
Parent organization
APM, MSO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
APM, MSO, LLC
Authorized official
VISHAL LAL (CEO)
(414) 325-7246
Entity
Organization
Contact information
Practice address
2595 DEVELOPMENT DR, STE 150, GREEN BAY, WI 54311
(414) 325-7246
Mailing address
4131 W LOOMIS RD, STE 300, GREENFIELD, WI 53221
(414) 325-7246
(414) 325-3720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2009
Last updated
10/24/2016
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