Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Pain Specialists, LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1649401258

Great Lakes Pain Specialists, LLC is a Pain Medicine (Anesthesiology) Physician in Franklin, Wisconsin. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8153 S 27th St
Franklin, WI 53132-7012
Phone: (414) 761-1802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1649401258
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Staacke — Partner · (262) 787-4026
NPI enumeratedJuly 30, 2009
Last updated in NPPESJuly 30, 2009
Mailing address225 S Executive Dr, Brookfield, WI 53005-4257

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