Pain Physicians of Wisconsin, SC
Pain Physicians of Wisconsin, SC is a Durable Medical Equipment & Medical Supplies in Kenosha, Wisconsin. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
10105 74th St Ste 101Kenosha, WI 53142-7530
Phone: (262) 297-7246
Fax: (888) 714-0578
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1972355782 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melissa Beardsley — Practice Manager · (262) 297-7246 |
| NPI enumerated | April 4, 2024 |
| Last updated in NPPES | April 4, 2024 |
| Certification date | April 4, 2024 |
| Mailing address | 2500 W Layton Ave # Suie120, Milwaukee, WI 53221-5420 |
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