NPI 1356904254
Pain Centers of Wisconsin - Beaver Dam, LLC
Practice location
- Address
- 1701 N Spring St, Beaver Dam, WI 53916-1178
- Phone
- (414) 325-7246
- Fax
- (414) 325-3770
- Mailing address
- 4131 W Loomis Rd STE 300, Greenfield, WI 53221-2059
Authorised official
- Name
- Vishal Lal
- Title
- Authorized Representative
- Phone
- (414) 325-7246
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1356904254
- Entity type
- Organization
- NPI issued
- 16 Apr 2019
- Record last updated
- 16 Apr 2019
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.