OrganizationActive
Pain Centers of Wisconsin - Fort Atkinson, LLC
NPI 1316218167 · Interventional Pain Medicine Physician · Fort Atkinson, WI
Provider details
- NPI number
- 1316218167
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Bartell, Director/Privacy Officer(920) 568-6558
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Ambulatory Surgical Clinic/Center261QA1903X
Ambulatory Health Care Facilities
Practice location
1604 Madison Ave
Fort Atkinson, WI 53538-3101
Phone: (920) 568-6596
Fax: (920) 568-9429
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 660
Fort Atkinson, WI 53538-0660
Registry dates
- Enumerated
- 2012-01-25
- Last updated
- 2022-10-07
- Certified
- 2022-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.