Healthcare Provider Details

I. General information

NPI: 1003889130
Provider Name (Legal Business Name): MILWAUKEE PAIN TREATMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 N. MAYFAIRD RD SUITE 425
MILWAUKEE WI
53226
US

IV. Provider business mailing address

2300 N. MAYFAIRD RD #425
MILWAUKEE WI
53226
US

V. Phone/Fax

Practice location:
  • Phone: 414-257-4673
  • Fax: 414-257-4688
Mailing address:
  • Phone: 414-257-4673
  • Fax: 414-257-4688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number32152
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number32152
License Number StateWI

VIII. Authorized Official

Name: DR. DAVID STEIN
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 414-257-4673