Wisconsin Spine and Pain SC
Wisconsin Spine and Pain SC is a Durable Medical Equipment & Medical Supplies in West Bend, Wisconsin. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1000 Gateway Ct Ste 100West Bend, WI 53095-8541
Phone: (920) 204-6758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1154149367 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Jung — Md · (414) 455-1153 |
| NPI enumerated | September 27, 2024 |
| Last updated in NPPES | September 27, 2024 |
| Certification date | September 27, 2024 |
| Mailing address | Dept. Ch 17057, Palatine, IL 60055-7057 |
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