OrganizationActive
Spine Center of Wisconsin Sc
NPI 1467561506 · Medical Specialty Clinic/Center · Milwaukee, WI
Provider details
- NPI number
- 1467561506
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Banach, Ofc Mgr(414) 235-3623
- License
- XM39276 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2801 W Kinnickinnic River Pkwy Ste 355
Milwaukee, WI 53215-3695
Phone: (414) 235-3623
Fax: (414) 235-3623
Street-level locationGet directions
Mailing address
Po Box 320695
Franklin, WI 53132
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2008-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.