Pain Physicians of Wisconsin, SC
Pain Physicians of Wisconsin, SC is a Non-Pharmacy Dispensing Site in Kenosha, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
10105 74th StKenosha, WI 53142-7510
Phone: (262) 297-7246
Fax: (888) 714-0578
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Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X |
|---|
Record details
| NPI number | 1447971684 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Hooker — Hr · (262) 297-7246 |
| NPI enumerated | September 7, 2022 |
| Last updated in NPPES | September 14, 2022 |
| Certification date | September 14, 2022 |
| Mailing address | 2500 W Layton Ave Ste 120, Milwaukee, WI 53221-5400 |
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