Premise Health of Wisconsin Medical S C
NPI #1811173313 in Mineral Point, Wisconsin
Provider Information
- NPI Number
- 1811173313
- Entity Type
- Organization
- Organization Name
- Premise Health of Wisconsin Medical S C
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 14, 2008
- Last Updated
- Oct 13, 2022
Practice Location
- Address
- 856 FAIR ST
- City
- Mineral Point
- State
- Wisconsin
- ZIP Code
- 53565-1409
- Phone
- (605) 987-2569
Authorized Official
- Name
- DR. JONATHAN LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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