AFFILIATED HEALTH OF WISCONSIN LTD. NPI 1063433977

NPI Information

AFFILIATED HEALTH OF WISCONSIN LTD. is a pain medicine physical medicine rehabilitation in Wauwatosa, WI. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. AFFILIATED HEALTH OF WISCONSIN LTD. NPI is 1063433977. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2626 N 76TH ST
SUITE 105
WAUWATOSA, WI
ZIP 53213-137
Phone: (414) 774-7794
Fax: (414) 607-3971

The provider's authorized official is Karien C Bakker .
The authorized official title is Coo and has the following contact phone number (414) 755-4760.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 4/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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