institution
Premise Health Of Wisconsin Medical, S.c.
Multi-Specialty Clinic/Center in Kenosha, Wisconsin
NPI 1760109052

Premise Health Of Wisconsin Medical, S.c. is a Multi-Specialty Clinic/Center based in Brentwood, WI and is specialized in Multi-Specialty. Premise Health Of Wisconsin Medical, S.c. practices in Kenosha, WI. The NPI Number for Premise Health Of Wisconsin Medical, S.c. is 1760109052 and holds a License No. (Wisconsin).

The current practice location address for Premise Health Of Wisconsin Medical, S.c. is 4303 39Th Ave, Kenosha, WI and can be reached out via phone at 262-653-4444. You can also correspond with Premise Health Of Wisconsin Medical, S.c. through the mailing address at 5500 MARYLAND WAY STE 120, BRENTWOOD, TN - 37027-4993 (mailing address contact number: ).

Location: 4303 39Th Ave, Kenosha, WI, 37027-4993
institution
Provider Profile Details
NPI Number
1760109052
Provider Name
Premise Health Of Wisconsin Medical, S.c.
Credential
Provider Entity Type
Organization
Address
4303 39Th Ave, Kenosha, WI, 37027-4993
Phone Number
262-653-4444
Fax Number
Provider Enumeration Date
10/26/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4303 39Th Ave
City
State
Zip
53144-1969
Phone Number
262-653-4444
Fax Number
person
Provider Business Mailing Address Details
Address
4303 39Th Ave
City
State
Zip
53144-1969
Phone Number
262-653-4444
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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