OrganizationActive
Wisconsin Spine and Pain Sc
NPI 1790309276 · Interventional Pain Medicine Physician · Sheboygan, WI
Provider details
- NPI number
- 1790309276
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Jung, Owner(414) 455-1153
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2124 Kohler Memorial Dr Ste 110
Sheboygan, WI 53081-3174
Phone: (920) 204-6758
Approximate (ZIP-level) locationGet directions
Mailing address
Dept Ch 17057
Palatine, IL 60055-7057
Registry dates
- Enumerated
- 2020-06-01
- Last updated
- 2024-09-27
- Certified
- 2024-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.