Promed Preferred Wi Sc

NPI #1013735802 in Hudson, Wisconsin

Provider Information

NPI Number: 1013735802
Entity Type: Organization
Organization Name: Promed Preferred Wi Sc
Primary Specialty: Family Medicine
Enumeration Date: Sep 30, 2024
Last Updated: Sep 30, 2024

Practice Location

Address: 155 2ND ST S
City: Hudson
State: Wisconsin
ZIP Code: 54016-2234
Phone: (615) 499-3165

Authorized Official

Name: LEV GRINMAN, MD
Title: OWNER
Phone: (615) 499-3165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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