Wisconsin Pain Clinic Provider Directory

[Pages:11]State of Wisconsin Department of Health Services

Name Certificate # Address City Phone Medical Director County

INTERVENTIONAL PAIN SPECIALISTS OF WI, SC Cert.# 127 2021 CENEX DRIVE, SUITE J RICE LAKE, WI 54868 (715) 234-7246 BRENDEL JOHN

BARRON

BAYCARE CLINIC, LLP Cert.# 112 2845 GREENBRIER RD, STE 340 GREEN BAY, WI 54311 (920) 490-9046 DANZHU GUO AHMET DERVISH CHRISTOPHER HOWSON BROWN

Directory of Wisconsin Pain Clinics by County

Division of Quality Assurance Bureau of Health Services 10/11/2023 Page 1

Affiliated Sites Name INTERVENTIONAL PAIN SPECIALISTS OF WI, SC

Location 411 STAGELINE RD, HUDSON, WI 54016

Affiliated Sites Name BAYCARE CLINIC BAYCARE CLINIC

BAYCARE CLINIC

DOOR COUNTY MEDICAL CTR BAY CARE CLINIC

BAY CARE CLINIC BAYCARE CLINIC

BAYCARE CLINIC BAYCARE CLINIC BAYCARE CLINIC BAYCARE CLINIC

BAYCARE CLINIC

Location

2401 HOLMGREN WAY, GREEN BAY, WI 54304 AURORA HEALTH CENTER, 4061 OLD PESHTIGO RD, MARINETTE, WI 54143 AURORA HEALTH CENTER 1346 E GREEN BAY ST, SHAWANO, WI 54166 323 S 18TH AVE, STURGEON BAY, WI 54235 AURORA HEALTH CENTER, 5300 MEMORIAL DR, TWO RIVERS, WI 54241 501 N 10TH ST, MANITOWOC, WI 54220 AURORA BAYCARE 2845 GREENBRIER RD STE 340, GREEN BAY, WI 54311 2411 HOLMGREN WAY, GREEN BAY, WI 54304 2700 CROOKS AVE, KAUKAUNA, WI 54130 1346 E GREEN BAY ST, SHAWANO, WI 54166 AURORA BAYCARE HEALTH CENTER 1500 ARBOR WAY, KAUKAUNA, WI 54130 1111 BAYSHORE DR, MANITOWOC, WI 54220

State of Wisconsin Department of Health Services

Name Certificate # Address City Phone Medical Director County

HYPERMOBILITY MD, PLCC Cert.# 135 2304 LINEVILLE RD, STE 112 HOWARD, WI 54303 (715) 600-1722 LINDA BLUESTEIN

BROWN

SSM HEALTH DEAN MEDICAL GROUP Cert.# 124 1808 W BELTLINE HWY MADISON, WI 53713 (608) 250-1075 GREGORY LOVE

DANE

Directory of Wisconsin Pain Clinics by County

Division of Quality Assurance Bureau of Health Services 10/11/2023 Page 2

Affiliated Sites

Name

SSM HEALTH DEAN MEDICAL GROUP-PAIN MANAGEMENT DEPT SSM HEALTH DEAN MEDICAL GROUP-PAIN MANAGEMENT DEPT SSM HEALTH DEAN MEDICAL GROUP-PAIN MANAGEMENT DEPT SSM HEALTH DEAN MEDICAL GROUP-PAIN MANAGEMENT DEPT SSM HEALTH DEAN MEDICAL GROUP-PAIN MANAGEMENT DEPT SSM HEALTH DEAN MEDICAL GROUP-PAIN MANAGEMENT DEPT

Location 700 S PARK STREET, MADISON, WI 53713

3200 E RACINE STREET, JANESVILLE, WI 53546

1626 TUTTLE STREET MEDICAL OFFICE BLDG, BARABOO, WI 53913 740 REENA AVENUE, FORT ATKINSON, WI 53538

2825 HUNTER'S TRAIL, 2ND FLOOR, PORTAGE, WI 53901

UPLAND HILLS HEALTH, 800 COMPASSION WAY, DODGEVILLE, WI 53533

State of Wisconsin Department of Health Services

Name Certificate # Address City Phone Medical Director County

FORT HEALTHCARE PAIN MANAGEMENT CLINIC Cert.# 134 1604 MADISON AVE FORT ATKINSON, WI 53538 (920) 568-6596 DOUGLAS KEEHN

JEFFERSON

LAKESHORE PAIN AND SPINE CENTER, LLC Cert.# 132 7201 GREEN BAY ROAD KENOSHA, WI 53142 (312) 519-9936

KENOSHA

BONE AND JOINT CLINIC, SC Cert.# 114 400 WESTWOOD DRIVE, SUITE 100 WAUSAU, WI 54401 (715) 359-6442 SCOTT STUEMPFIG

MARATHON

Directory of Wisconsin Pain Clinics by County

Division of Quality Assurance Bureau of Health Services 10/11/2023 Page 3

Affiliated Sites Name BONE AND JOINT, SC AT MEDFORD BONE AND JOINT, SC AT MERRILL BONE AND JOINT, SC AT PLOVER BONE AND JOINT, SC AT WAUSAU

Location 724 S. 8TH ST, MEDFORD, WI 54451 100 EAGLE DR, MERRILL, WI 54452 1767 PARK AVE, PLOVER, WI 54467 225000 HUMMINGBIRD LN, WAUSAU, WI 54401

State of Wisconsin Department of Health Services

Name Certificate # Address City Phone Medical Director County

WISCONSIN INTEGRATIVE PAIN SPECIALISTS Cert.# 130 4203 SCHOFIELD AVENUE, SUITE 2 WESTON, WI 54476 (715) 600-1722 LINDA BLUESTEIN

MARATHON

SPINE PAIN DIAGNOSTIC ASSOC, SC DIV WI MI PHY, SC Cert.# 108 1601 ROOSEVELT RD NIAGARA, WI 54151 (888) 724-6377 VIJAY SINGH

MARINETTE

DOUGLAS MILOSAVLJEVIC, MD SC Cert.# 110 8153 S 27TH ST STE 600 FRANKLIN, WI 53132 (414) 761-1802 DOUGLAS MILOSAVLJEVIC

MILWAUKEE

Directory of Wisconsin Pain Clinics by County

Division of Quality Assurance Bureau of Health Services 10/11/2023 Page 4

Affiliated Sites Name SPINE PAIN DIAGNOSTICS ASSOCIATES SPINE PAIN DIAGNOSTICS ASSOCIATES

Location

10945 N PORT WASHINGTON RD STE 101, MEQUON, WI 53092 4600 W LOOMIS RD SUITE 101, GREENFIELD, WI 53220

State of Wisconsin Department of Health Services

Name Certificate # Address City Phone Medical Director County

INTEGRATED PAIN AND JOINT CARE, SC Cert.# 126 5261 N PORT WASHINGTON ROAD, SUITE 101 GLENDALE, WI 53217 (414) 332-6001 AHMED ELBORNO

MILWAUKEE

PAIN MANAGEMENT CENTER OF WISCONSIN, SC Cert.# 116 4710 W LOOMIS RD GREENFIELD, WI 53220 (414) 433-1000 HENRY ROSLER

MILWAUKEE

Directory of Wisconsin Pain Clinics by County

Division of Quality Assurance Bureau of Health Services 10/11/2023 Page 5

Affiliated Sites Name INTEGRATED PAIN AND JOINT CARE, SC

Location

1524 S GREENBAY RD, SUITE 103, MOUNT PLEASANT, WI 53406

State of Wisconsin Department of Health Services

Name Certificate # Address City Phone Medical Director County

AURORA ADVANCED HEALTHCARE, INC Cert.# 103 750 W VIRGINIA ST MILWAUKEE, WI 53204 (414) 299-1600 ANDREA GAVIN IFEYINWA IGWE

MILWAUKEE

Directory of Wisconsin Pain Clinics by County

Division of Quality Assurance Bureau of Health Services 10/11/2023 Page 6

Affiliated Sites Name

AURORA HEALTH CENTER-MAYFAIR RD AURORA HEALTH CENTER - MEQUON CORPORATE PKWY AURORA ADVANCED HEALTHCARE SLINGER AURORA HEALTH CTR - GERMANTOWN SOUTH BLDG AURORA ADVANCED HEALTHCARE HARTFORD AURORA HEALTH CENTER - OHIO CLINIC - PAIN MGMT AURORA ADVANCED HEALTHCARE GERMANTOWN NORTH NI PAIN MENOMONEE FALLS NI PAIN

AURORA HEALTH CENTER

Location 2999 N MAYFAIR RD, WAUWATOSA, WI 53222 12203 CORPORATE PKWY, MEQUON, WI 53092

1061 E COMMERCE BLVD, SLINGER, WI 53086

W180 N11070 RIVER LN, GERMANTOWN, WI 53022

1640 E SUMNER ST, HARTFORD, WI 53027

3305 S 20TH ST STE 100, MILWAUKEE, WI 53215

3003 W GOOD HOPE RD, MILWAUKEE, WI 53209 N112 W17975 MEQUON RD, GERMANTOWN, WI 53022 N84 W16889 MENOMONEE FALLS AVE, MENOMONEE FALLS, WI 53051 7878 N 76TH ST, MILWAUKEE, WI 53223

State of Wisconsin Department of Health Services

Name Certificate # Address City Phone Medical Director County AURORA MEDICAL GROUP, INC Cert.# 105 750 W VIRGINIA ST MILWAUKEE, WI 53204 (414) 299-1600 ANDREA GAVIN IFEYINWA IGWE

MILWAUKEE

CENTER FOR PAIN MANAGEMENT Cert.# 129 6200 W CENTER ST MILWAUKEE, WI 53210 (414) 444-8670 NOSHEEN HASAN

MILWAUKEE

Directory of Wisconsin Pain Clinics by County

Division of Quality Assurance Bureau of Health Services 10/11/2023 Page 7

Affiliated Sites Name

AURORA HEALTH CNTR MUSKEGO COMPREHENSIVE PAIN PRGM AURORA COMPREHENSIVE PAIN AURORA HEALTH CENTER SUMMIT PHYSIATRY DEPT AURORA HEALTH CENTER AURORA HEALTH CENTER AURORA HEALTH CENTER AURORA HEALTH CENTER - DE PERE AURORA SOUTHERN LAKES PAIN CLINIC RIVER CENTER COMPREHENSIVE PAIN PRGM AURORA SHEBOYGAN CLINIC AURORA HEALTH CENTER- OHIO CLINICPAIN MGMT DELAVAN AURORA HEALTH CARE AURORA HEALTH CENTER-MAYFAIR RD AURORA HEALTH CENTER-OAK CREEK NI PAIN

Location S68 W15500 JANESVILLE RD, MUSKEGO, WI 53150

3305 S 20TH ST SUITE 100, MILWAUKEE, WI 53215 36500 AURORA DR, SUMMIT, WI 53066

700 N WESTHAVEN DR, OSHKOSH, WI 54904 210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54935 414 DOCTORS CT, OSHKOSH, WI 54901 1881 CHICAGO ST, DE PERE, WI 54115 709 SPRING VALLEY RD, BURLINGTON, WI 53105 1575 N RIVER CENTER DR STE 1100, MILWAUKEE, WI 53212

2629 N 7TH ST, SHEBOYGAN, WI 53083 3305 S 20TH ST STE 100, MILWAUKEE, WI 53215

1550 HOBBS DR, DELAVAN, WI 53115 8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406 2999 N MAYFAIR RD, WAUWATOSA, WI 53222 200 E RYAN RD, OAK CREEK, WI 53154

State of Wisconsin Department of Health Services

Name Certificate # Address City Phone Medical Director County

MIDWEST COMPREHENSIVE PAIN CARE, SC Cert.# 123 2500 N MAYFAIR RD, STE #480 MILWAUKEE, WI 53226 (414) 771-7400 NANCY BRATANOW

MILWAUKEE

MILWAUKEE PAIN TREATMENT SERVICES Cert.# 111 5400 N 118TH CT MILWAUKEE, WI 53225 (414) 257-4673 DAVID STEIN

MILWAUKEE

NAVTEJ S PUREWAL, MD, SC Cert.# 125 3305 S 20TH STREET, STE 160 MILWAUKEE, WI 53215 (414) 509-8826 NAVTEJ PUREWAL

MILWAUKEE

Directory of Wisconsin Pain Clinics by County

Division of Quality Assurance Bureau of Health Services 10/11/2023 Page 8

Affiliated Sites Name MIDWEST COMPREHENSIVE PAIN CARE

Location 13111 N PORT WASHINGTON RD, #110, MEQUON, WI 53097

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