NPI | 1740760172 |
---|---|
Doing Business As | PREMISE HEALTH - TD WILLIAMSON |
Entity Type | Organization |
Authorized Contact | JONATHAN LEIZMAN President 216-479-9063 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2018-08-15 |
Last Update Date | 2022-10-13 |