NPI 1720574288
Wisconsin Pain Management Specialists, LLC
Practice location
- Address
- 1050 S. Milwaukee Avenue Suite 102, Burlington, WI 53105
- Phone
- (262) 758-6155
- Mailing address
- PO Box 135, Hartland, WI 53029-0135
Authorised official
- Name
- Michael W Jung
- Title
- Ceo
- Phone
- (262) 412-6799
Registered specialties
Pain Medicine Physician
Primary
Registry record
- NPI
- 1720574288
- Entity type
- Organization
- NPI issued
- 9 Jul 2018
- Record last updated
- 24 Jul 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.