| Promed Preferred Wi 2 Service Corporation | |
|
100 Wilburn Rd Ste 100 Sun Prairie WI 53590-1478 | |
| (615) 499-3165 | |
| Not Available |
| Full Name | Promed Preferred Wi 2 Service Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Wilburn Rd Ste 100, Sun Prairie, Wisconsin |
| Authorized Official Name and Position | Lev Grinman (PRESIDENT) |
| Authorized Official Contact | 6154993165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Preferred Wi 2 Service Corporation 329 S Oyster Bay Rd # 2059 Plainview NY 11803-3301 Ph: () - | Promed Preferred Wi 2 Service Corporation 100 Wilburn Rd Ste 100 Sun Prairie WI 53590-1478 Ph: (615) 499-3165 |
| NPI Number | 1952291049 |
|---|---|
| Provider Enumeration Date | 07/08/2025 |
| Last Update Date | 07/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952291049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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