PREMISE HEALTH OF WISCONSIN MEDICAL S C

OSHKOSH, WI
NPI1235890435
Doing Business AsTHREE WAVES HEALTH CLINIC AND WELLNESS CENTER
Entity TypeOrganization
Authorized ContactJONATHAN LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2022-01-10
Last Update Date2022-10-13
Business Address
PREMISE HEALTH OF WISCONSIN MEDICAL S C
292 OHIO ST
OSHKOSH, WI 54902-5825
Phone number: 920-267-5332
Mailing Address
PREMISE HEALTH OF WISCONSIN MEDICAL S C
5500 MARYLAND WAY
BRENTWOOD, TN 37027-7048
Phone number: