OrganizationActive
Clinical Pain Consultants, S.c.
NPI 1376086611 · Pain Clinic/Center · Wauwatosa, WI
Provider details
- NPI number
- 1376086611
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Heidi Richburg, Partner(414) 800-5359
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Practice location
2500 North Mayfair Road
Suite 325
Wauwatosa, WI 53226
Phone: (414) 800-5359
Fax: (414) 800-6308
Approximate (ZIP-level) locationGet directions
Mailing address
2500 North Mayfair Road
Wauwatosa, WI 53226
Registry dates
- Enumerated
- 2016-11-18
- Last updated
- 2024-07-08
- Certified
- 2024-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.