NPI 1063433977

Affiliated Health of Wisconsin LTD.

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

Practice location

Address: 2626 N 76th St Suite 105, Wauwatosa, WI 53213-1137
Phone: (414) 774-7794
Fax: (414) 607-3971

Authorised official

Name: Jay L Mackman
Title: Director
Phone: (414) 476-9400

Registered specialties (4)

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X

Other Physical Medicine & Rehabilitation providers in Wisconsin →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Computed Tomography Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3401X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1063433977
Entity type: Organization
NPI issued: 23 Jul 2006
Record last updated: 25 Aug 2023

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.