NPI 1063805547
Advanced Pain Management Sc
Practice location
- Address
- 2595 Development Dr Suite 150, Green Bay, WI 54311-4267
- Phone
- (414) 325-7246
- Mailing address
- 4131 W Loomis Rd Suite 300, Greenfield, WI 53221-2057
Authorised official
- Name
- Vishal Lal
- Title
- Authorized Representative
- Phone
- (414) 325-7246
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1063805547
- Entity type
- Organization
- NPI issued
- 9 Mar 2015
- Record last updated
- 9 Mar 2015
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.