OrganizationActive
Kinetic Spine and Pain Sc
NPI 1013738509 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Shorewood, WI
Provider details
- NPI number
- 1013738509
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Oscar Wille, President & Ceo(414) 232-7268
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4491 N Oakland Ave
Shorewood, WI 53211-1611
Phone: (414) 999-3815
Approximate (ZIP-level) locationGet directions
Mailing address
4491 N Oakland Ave
Shorewood, WI 53211-1611
Registry dates
- Enumerated
- 2024-10-18
- Last updated
- 2024-11-27
- Certified
- 2024-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.