NPI 1013738509

Kinetic Spine and Pain Sc

Organisation Pain Medicine (Physical Medicine & Rehabilitation) Physician Shorewood, WI

Practice location

Address: 4491 N Oakland Ave, Shorewood, WI 53211-1611
Phone: (414) 999-3815

Authorised official

Name: Oscar C Wille
Title: President & Ceo
Phone: (414) 232-7268

Registered specialties

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X

Other Physical Medicine & Rehabilitation providers in Wisconsin →

Registry record

NPI: 1013738509
Entity type: Organization
NPI issued: 18 Oct 2024
Record last updated: 27 Nov 2024

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.