Premier MD
NPI #1093411001 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1093411001
- Entity Type
- Organization
- Organization Name
- Premier MD
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 1, 2023
- Last Updated
- Jan 9, 2026
Practice Location
- Address
- 15 SUGAR CREEK LN
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3322
- Phone
- (618) 510-9123
Authorized Official
- Name
- DR. GLENN SKOW, MD
- Title
- CEO
- Phone
- (917) 514-8740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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