Great Lakes Pain Specialists, Llc

LBN: Great Lakes Pain Specialists, Llc
Great Lakes Pain Specialists, Llc is an health care organization with primary practice located at 8153 S 27Th St , Franklin WI 53132-7012. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Great Lakes Pain Specialists, Llc can be contacted via phone (414) 761-1802, or through Staacke, Timothy via phone (262) 787-4026.

Contact Information

Primary practice address
8153 S 27Th St Franklin WI 53132-7012
Phone: (414) 761-1802
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Staacke, Timothy Doctor of Medicine (MD)
Phone: (262) 787-4026

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1649401258
LBN Legal business name Great Lakes Pain Specialists, Llc
DBA Doing business as
Authorized official Staacke, Timothy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2009
Last updated Jul 30th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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