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1376260646
PREMISE HEALTH OF WISCONSIN MEDICAL, S.C.
MILWAUKEE, WI
NPI
1376260646
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Entity Type
Organization
Authorized Contact
WILLIAM WRIGHT
Legal Counsel
615-577-5893
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center Multi-Specialty
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
PREMISE HEALTH OF WISCONSIN MEDICAL, S.C.
4400 W STATE ST
MILWAUKEE, WI 53208-3140
Phone number: 414-931-4444
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Mailing Address
PREMISE HEALTH OF WISCONSIN MEDICAL, S.C.
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number:
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