| Riverlakes Pain and Wellness Center | |
|
1370 Pabst Farms Cir Suite #340 Oconomowoc WI 53066-4879 | |
| (262) 200-2700 | |
| (262) 200-2702 |
| Full Name | Riverlakes Pain and Wellness Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1370 Pabst Farms Cir, Oconomowoc, Wisconsin |
| Authorized Official Name and Position | Jeffrey Thomas Follansbee (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2622002700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverlakes Pain and Wellness Center 1370 Pabst Farms Cir Suite #340 Oconomowoc WI 53066-4879 Ph: (262) 200-2700 | Riverlakes Pain and Wellness Center 1370 Pabst Farms Cir Suite #340 Oconomowoc WI 53066-4879 Ph: (262) 200-2700 |
| NPI Number | 1760611925 |
|---|---|
| Provider Enumeration Date | 07/09/2009 |
| Last Update Date | 07/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760611925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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