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

Greater Milwaukee Pain Clinic Ltd

Organization Specialist · NPI 1366785610

Greater Milwaukee Pain Clinic Ltd is a Specialist in West Allis, Wisconsin. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
4
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10817 W Lincoln Ave
West Allis, WI 53227-1127
Phone: (414) 327-6767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Specialist Taxonomy 174400000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1366785610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Kostusak — President · (414) 327-6767
NPI enumeratedApril 4, 2013
Last updated in NPPESApril 4, 2013
Mailing address10817 W Lincoln Ave, West Allis, WI 53227-1127

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