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Premier Medical & Couple Therapy
Mental Health Clinic/Center (Including Community Mental Health Center) in Mequon, Wisconsin
NPI 1629687108

Premier Medical & Couple Therapy is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Mequon, WI and is specialized in Mental Health (Including Community Mental Health Center). Premier Medical & Couple Therapy practices in Mequon, WI. The NPI Number for Premier Medical & Couple Therapy is 1629687108 and holds a License No. (Wisconsin).

The current practice location address for Premier Medical & Couple Therapy is 1025 W Glen Oaks Ln Ste 208, Mequon, WI and can be reached out via phone at 262-957-6159.

Location: 1025 W Glen Oaks Ln Ste 208, Mequon, WI, 53092-3374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629687108
Provider Name
Premier Medical & Couple Therapy
Credential
Provider Entity Type
Organization
Address
1025 W Glen Oaks Ln Ste 208, Mequon, WI, 53092-3374
Phone Number
262-957-6159
Fax Number
Provider Enumeration Date
07/30/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G17772 05 WI
institution
Provider Business Practice Location Address Details
Address
1025 W Glen Oaks Ln Ste 208
City
Mequon
State
Wisconsin
Zip
53092-3374
Phone Number
262-957-6159
Fax Number
person
Provider Business Mailing Address Details
Address
1025 W Glen Oaks Ln Ste 208
City
Mequon
State
Wisconsin
Zip
53092-3374
Phone Number
262-957-6159
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
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Definition
Definition to come...
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