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NPI Code Detail

MEDICARE: ALLEVIATE PAIN AND SPINE, SC

MEDICARE: ALLEVIATE PAIN AND SPINE, 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
1207LP2900XPain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number : 1962217521
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLEVIATE PAIN AND SPINE, SC
Provider Business Mailing Address
First Line : 1716 LAWRENCE DR STE 103
Second Line :
City : DE PERE
State : WI
Zip : 54115-9108
Country : US
Telephone Number : 920-632-6800
Fax Number : 920-632-6806
Provider Business Practice Location Address
First Line : 1716 LAWRENCE DR STE 103
Second Line :
City : DE PERE
State : WI
Zip : 54115-9108
Country : US
Telephone Number : 920-632-6800
Fax Number : 920-632-6806
Authorized Official
Title or Position : OWNER
Name : DR. MANSOOR MOHAMMAD AMAN
Credential : MD
Telephone Number : 920-276-8600
Provider Enumeration Date : 02/11/2025
Last Update Date : 12/11/2025

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Directions to “ALLEVIATE PAIN AND SPINE, SC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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