| Premise Health Of Wisconsin Medical, S.c. | |
|
7601 Discovery Dr Middleton WI 53562-5528 | |
| (608) 338-0400 | |
| (608) 824-8817 |
| Full Name | Premise Health Of Wisconsin Medical, S.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7601 Discovery Dr, Middleton, Wisconsin |
| Authorized Official Name and Position | Jonathan Leizmaan (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Wisconsin Medical, S.c. 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Wisconsin Medical, S.c. 7601 Discovery Dr Middleton WI 53562-5528 Ph: (608) 338-0400 |
| NPI Number | 1912690439 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912690439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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