Organization
PAIN PHYSICIANS OF WISCONSIN, SC
Active
Organization
PAIN PHYSICIANS OF WISCONSIN, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA L BEARDSLEY (PRACTICE MANAGER)
(262) 297-7246
Entity
Organization
Contact information
Practice address
10105 74TH ST STE 101, KENOSHA, WI 53142-7530
(262) 297-7246
(888) 714-0578
Mailing address
2500 W LAYTON AVE # SUIE120, MILWAUKEE, WI 53221-5420
(262) 297-7246
(888) 714-0578
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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