Watertower Pain Consultants, Sc in Glendale - Pain Medicine
Watertower Pain Consultants, Sc - NPI 1053389544
Watertower Pain Consultants, Sc is a Pain Medicine in Glendale, Wisconsin. Watertower Pain Consultants, Sc practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Watertower Pain Consultants, Sc is 1053389544. The last update date is 2008-10-09.
Watertower Pain Consultants, Sc's current location address is 575 W River Woods Pkwy, Glendale, Wisconsin. You can contact this provider via phone number 4149626700. The mailing address for Watertower Pain Consultants, Sc is 575 W River Woods Pkwy, Glendale, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Watertower Pain Consultants, Sc |
|---|---|
| Address | 575 W River Woods Pkwy, Glendale, Wisconsin |
| Phone Number | 4149626700 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Donatello Stephen |
| Credentials | MD |
| Telephone Number | 4149626700 |
NPI Number Detail
| NPI Number | 1053389544 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2008-10-09 |
Provider Mailing Address Detail
| Address | 575 W River Woods Pkwy |
|---|---|
| City | Glendale |
| State | Wisconsin (WI) |
| Post Code | 532121003 |
| Phone Number | 4149626700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
|
Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21298700 | WI | -- | |
| 52D1088766 | CLIA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Watertower Pain Consultants, Sc by the Centers for Medicare & Medicaid Services?
The Watertower Pain Consultants, Sc has been assigned the NPI (National Provider Identifier) 1053389544 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Watertower Pain Consultants, Sc's facilities are geographically located?
The facilities of Watertower Pain Consultants, Sc are physically situated at the following location: 575 W River Woods Pkwy, Glendale, WI, 532121003.
What is Watertower Pain Consultants, Sc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Watertower Pain Consultants, Sc's area of specialization is Pain Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Lp2900X.
On what date did Watertower Pain Consultants, Sc receive its 1053389544 assignment from the Centers for Medicare & Medicaid Services?
The Watertower Pain Consultants, Sc was assigned its 1053389544 on 2006-03-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Watertower Pain Consultants, Sc last refreshed?
The information related to the Watertower Pain Consultants, Sc, including its address, specialty, and other relevant details, was last updated on 2008-10-09.
NPI Number: 1376546309
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