Organization · Type 2 NPI

Wisconsin Spine and Pain SC

Durable Medical Equipment & Medical Supplies · West Bend, WI

NPI number 1154149367 Active

Practice location

1000 Gateway Court Suite 100
West Bend, WI 53095-8541

Call (920) 204-6758 Map

Mailing address

Dept. Ch 17057
Palatine, IL 60055-7057

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1154149367

Wisconsin Spine and Pain SC's National Provider Identifier is 1154149367, issued on Sep 27, 2024. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in West Bend, WI. The record was last updated on Sep 27, 2024.