Premise Health of Tennessee Medical, P.c
NPI #1689161077 in Thief River Falls, Minnesota
Provider Information
- NPI Number
- 1689161077
- Entity Type
- Organization
- Organization Name
- Premise Health of Tennessee Medical, P.c
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Apr 20, 2018
- Last Updated
- Sep 15, 2022
Practice Location
- Address
- 701 BROOKS AVE S
- State
- Minnesota
- ZIP Code
- 56701-2757
- Phone
- (615) 468-3188
Authorized Official
- Name
- DR. JONATHAN LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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