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1013735802
PROMED PREFERRED WI SC
HUDSON, WI
NPI
1013735802
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Entity Type
Organization
Authorized Contact
LEV GRINMAN
Owner
615-499-3165
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
PROMED PREFERRED WI SC
155 2ND ST S
HUDSON, WI 54016-2234
Phone number: 615-499-3165
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Mailing Address
PROMED PREFERRED WI SC
329 S OYSTER BAY RD STE 2059
PLAINVIEW, NY 11803-3301
Phone number:
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