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NPI Code Detail

MEDICARE: CENTER FOR PAIN MANAGEMENT, SC

MEDICARE: CENTER FOR PAIN MANAGEMENT, SC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianWI
2208VP0014XInterventional Pain Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619968120
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR PAIN MANAGEMENT, SC
Provider Business Mailing Address
First Line : PO BOX 13857
Second Line :
City : WAUWATOSA
State : WI
Zip : 53213-0857
Country : US
Telephone Number : 414-444-8670
Fax Number : 414-444-8678
Provider Business Practice Location Address
First Line : 6200 W CENTER ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53210-2159
Country : US
Telephone Number : 414-444-8670
Fax Number : 414-444-8678
Authorized Official
Title or Position : OWNER
Name : NOSHEEN HASAN
Credential : MD
Telephone Number : 414-444-8670
Provider Enumeration Date : 11/03/2005
Last Update Date : 05/26/2017

Similar Medicare Providers

1003800285 — DR. NOSHEEN HASAN MD
Practice Location Address:
6200 W CENTER ST
MILWAUKEE, WI
53210-2159
Practice Phone: 414-444-8670
Practice Fax: 414-444-8678
1285941740 — MRS. DESIREE SIMS PMHNP
Practice Location Address:
6200 W CENTER ST
MILWAUKEE, WI
53210-2159
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Practice Fax: 414-444-8678
1144746421 — MICHAEL D TOYE PA-C
Practice Location Address:
6200 W CENTER ST
MILWAUKEE, WI
53210-2159
Practice Phone: 414-444-8670
Practice Fax:
1023630258 — STEPHANIE RUBACH APNP
Practice Location Address:
6200 W CENTER ST
MILWAUKEE, WI
53210-2159
Practice Phone: 414-444-8670
Practice Fax:
1346956422 — ADITI ADHIKARI
Practice Location Address:
6200 W CENTER ST
MILWAUKEE, WI
53210-2159
Practice Phone: 414-444-8670
Practice Fax:
1114613718 — DSR TRANSPORTATION LLC
Practice Location Address:
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Practice Phone: 414-736-3852
Practice Fax:

Directions to “CENTER FOR PAIN MANAGEMENT, SC ” Practice Location

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