NPI 1003062282

Advanced Pain Management

Organisation Specialist Racine, WI

Practice location

Address: 4216 Old Green Bay Rd, Racine, WI 53403-9486
Phone: (414) 325-3713

Authorised official

Name: Sheila Riley
Title: Billing Supervisor
Phone: (414) 325-3713

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1003062282
Entity type: Organization
NPI issued: 7 Aug 2008
Record last updated: 7 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.