Organization
MIDWEST CENTER FOR PAIN MANAGEMENT, LLC
Active
Other names
Midwest Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD HAMBLEN (OWNER/ MEMBER)
(859) 746-2444
Entity
Organization
Contact information
Practice address
693 WAGNER AVE, SUITE C, GREENVILLE, OH 45331-2636
(859) 746-2444
(859) 746-9666
Mailing address
7986 TANNERS GATE LN, FLORENCE, KY 41042-1863
(859) 746-2444
(859) 746-9666
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/27/2011
Last updated
07/21/2011
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