Promed Preferred Wi 2 Service Corporation
NPI #1952291049 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1952291049
- Entity Type
- Organization
- Organization Name
- Promed Preferred Wi 2 Service Corporation
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 8, 2025
- Last Updated
- Jul 8, 2025
Practice Location
- Address
- 100 WILBURN RD STE 100
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-1478
- Phone
- (615) 499-3165
Authorized Official
- Name
- LEV GRINMAN, MD
- Title
- PRESIDENT
- Phone
- (615) 499-3165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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