Premise Health of Connecticut Medical, P.c.

NPI #1922383744 in Tomahawk, Wisconsin

Provider Information

NPI Number
1922383744
Entity Type
Organization
Organization Name
Premise Health of Connecticut Medical, P.c.
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 12, 2011
Last Updated
Aug 15, 2022

Practice Location

Address
426 E SOMO AVE
ZIP Code
54487-1536
Phone
(715) 453-1768

Authorized Official

Name
JON LEIZMAN, M.D.
Title
PRESIDENT
Phone
(216) 479-9063

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care
Clinic/Center - Occupational MedicineOccupational Medicine
Clinic/Center - Primary CarePrimary Care

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