Premise Health of Wisconsin Medical S C

NPI #1710644075 in Tomahawk, Wisconsin

Provider Information

NPI Number
1710644075
Entity Type
Organization
Organization Name
Premise Health of Wisconsin Medical S C
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Nov 22, 2021
Last Updated
Oct 13, 2022

Practice Location

Address
318 N 6TH ST
ZIP Code
54487-1423
Phone
(715) 436-5066

Authorized Official

Name
JONATHAN LEIZMAN
Title
PRESIDENT
Phone
(216) 479-9063

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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