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

Integrative Pain Management SC

Organization Anesthesiology Physician · NPI 1124613732

Integrative Pain Management SC is an Anesthesiology Physician in De Pere, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3108 Mid Valley Dr
De Pere, WI 54115-9436
Phone: (920) 532-9117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1124613732
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntegrative Pain Management, SC
Authorized official John Joseph — Owner · (920) 532-9117
NPI enumeratedMarch 5, 2021
Last updated in NPPESMarch 5, 2021
Certification dateFebruary 15, 2021
Mailing address3108 Mid Valley Dr, De Pere, WI 54115-9436

Other providers in De Pere