NPI 1093052243
Wisconsin Pain Management, S.C.
Practice location
- Address
- 1050 Milwaukee Ave Suite 102, Burlington, WI 53105-1362
- Phone
- (262) 763-8000
- Mailing address
- 225 S Executive Dr, Brookfield, WI 53005-4257
Authorised official
- Name
- Anthony G Conrardy
- Title
- Authorized Official
- Phone
- (262) 763-8000
Registered specialties (2)
Interventional Pain Medicine Physician
Primary
Anesthesiology Physician
Registry record
- NPI
- 1093052243
- Entity type
- Organization
- NPI issued
- 8 Jan 2013
- Record last updated
- 8 Jan 2013
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.