| Premise Health Of Connecticut Medical, P.c. | |
|
W156 N 9000 Rilgrim Rd Menomonee Falls WI 53051 | |
| (262) 502-8752 | |
| (262) 502-8756 |
| Full Name | Premise Health Of Connecticut Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Occupational Medicine |
| Location | W156 N 9000 Rilgrim Rd, Menomonee Falls, Wisconsin |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Connecticut Medical, P.c. 16906 Collection Center Dr Chicago IL 60693-0169 Ph: (262) 502-8752 | Premise Health Of Connecticut Medical, P.c. W156 N 9000 Rilgrim Rd Menomonee Falls WI 53051 Ph: (262) 502-8752 |
| NPI Number | 1770868135 |
|---|---|
| Provider Enumeration Date | 10/18/2011 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770868135 | NPI | - | NPPES |
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