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

Wisconsin Spine and Pain SC

Organization Interventional Pain Medicine Physician · NPI 1790309276

Wisconsin Spine and Pain SC is an Interventional Pain Medicine Physician in Sheboygan, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2124 Kohler Memorial Dr Ste 110
Sheboygan, WI 53081-3174
Phone: (920) 204-6758
Show map & directions

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

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1790309276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Jung — Owner · (414) 455-1153
NPI enumeratedJune 1, 2020
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 26, 2024
Mailing addressDept Ch 17057, Palatine, IL 60055-7057