| Promed Preferred Wi Sc | |
|
155 2nd St S Hudson WI 54016-2234 | |
| (615) 499-3165 | |
| Not Available |
| Full Name | Promed Preferred Wi Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 155 2nd St S, Hudson, Wisconsin |
| Authorized Official Name and Position | Lev Grinman (OWNER) |
| Authorized Official Contact | 6154993165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Preferred Wi Sc 329 S Oyster Bay Rd Ste 2059 Plainview NY 11803-3301 Ph: () - | Promed Preferred Wi Sc 155 2nd St S Hudson WI 54016-2234 Ph: (615) 499-3165 |
| NPI Number | 1013735802 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013735802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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