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Organization

FIRST PAIN CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY VIRGINIA MCCULLOUGH BSN, RN (DIRECTOR)
(414) 737-9070
Entity
Organization

Contact information

Practice address
11501 W NORTH AVE, WAUWATOSA, WI 53226-2127
(414) 737-9070
Mailing address
11501 W NORTH AVE, WAUWATOSA, WI 53226-2127

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary

Other

Enumeration date
11/17/2011
Last updated
11/17/2011
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