| Premise Health Of Wisconsin Medical, S.c. | |
|
4400 W State St Milwaukee WI 53208-3140 | |
| (414) 931-4444 | |
| Not Available |
| Full Name | Premise Health Of Wisconsin Medical, S.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4400 W State St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | William Wright (LEGAL COUNSEL) |
| Authorized Official Contact | 6155775893 |
| 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. 4400 W State St Milwaukee WI 53208-3140 Ph: (414) 931-4444 |
| NPI Number | 1376260646 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376260646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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