Organization · Type 2 NPI
Pain Centers of Wisconsin - Appleton, LLC
Ambulatory Surgical Clinic/Center · Appleton, WI
NPI number
1548502008
Active
Practice location
1616 N Casaloma Dr
Appleton, WI 54913-8245
Fax (414) 325-3770
Mailing address
4131 W Loomis Rd, Ste 300
Greenfield, WI 53221-2057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1548502008
Pain Centers of Wisconsin - Appleton, LLC's National Provider Identifier is 1548502008, issued on Mar 22, 2013. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Appleton, WI. The record was last updated on Dec 27, 2016.