Premise Health of Connecticut Medical, P.c.
NPI #1770868135 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1770868135
- Entity Type
- Organization
- Organization Name
- Premise Health of Connecticut Medical, P.c.
- Primary Specialty
- Clinic/Center - Occupational Medicine
- Enumeration Date
- Oct 18, 2011
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- W156 N 9000 RILGRIM RD
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051
- Phone
- (262) 502-8752
Authorized Official
- Name
- JON LEIZMAN, M.D.
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
| Clinic/Center - Urgent Care — Urgent Care |
| Clinic/Center - Occupational Medicine — Occupational Medicine |
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