SPINE CENTER OF WISCONSIN SC is a medical specialty clinic center in Milwaukee, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SPINE CENTER OF WISCONSIN SC NPI is 1467561506. The provider is registered as an organization entity type.
The provider's business location address is:
2801 W KINNICKINNIC RIVER PKWY STE 355
MILWAUKEE, WI
ZIP 53215-695
Phone: (414) 235-3623
Fax: (414) 235-3623
The provider's authorized official is Mary J Banach .
The authorized official title is Ofc Mgr and has the following contact phone number (414) 235-3623.
The enumeration date for this NPI number is 8/30/2006 and was last updated on 9/18/2008.