OrganizationActive
Advanced Pain Management Sc
NPI 1720472558 · Durable Medical Equipment & Medical Supplies · West Bend, WI
Provider details
- NPI number
- 1720472558
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Vishal Lal, Authorized Representative(414) 325-7246
Specialties & taxonomies
Suppliers
Practice location
1000 Gateway Ct
Suite 200
West Bend, WI 53095-8541
Phone: (414) 325-7246
Approximate (ZIP-level) locationGet directions
Mailing address
4131 W Loomis Rd
Greenfield, WI 53221-2057
Registry dates
- Enumerated
- 2015-03-18
- Last updated
- 2015-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.