Organization
INTERVENTIONAL PAIN SPECIALISTS OF WISCONSIN, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN K BRENDEL JR. MD (OWNER)
(715) 234-7246
Entity
Organization
Contact information
Practice address
2021 CENEX DR UNIT J, RICE LAKE, WI 54868-1892
(715) 234-7246
(715) 234-7242
Mailing address
2021 CENEX DR UNIT J, RICE LAKE, WI 54868-1892
(715) 234-7246
(715) 234-7242
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
34036
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31913700
—
WI
01
—
34036
WI LICENSE NUMBER
WI
01
—
397524621000
BLUE CROSS WI
WI
Enumeration date
09/14/2006
Last updated
04/15/2024
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