PREMISE HEALTH OF WISCONSIN MEDICAL, S.C.

KENOSHA, WI
NPI1760109052
Doing Business AsCITY OF KENOSHA WELLNESS CENTER
Entity TypeOrganization
Authorized ContactWILLIAM WRIGHT
Legal Counsel
615-577-5893
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2022-10-26
Last Update Date2022-10-26
Business Address
PREMISE HEALTH OF WISCONSIN MEDICAL, S.C.
4303 39TH AVE
KENOSHA, WI 53144-1969
Phone number: 262-653-4444
Mailing Address
PREMISE HEALTH OF WISCONSIN MEDICAL, S.C.
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number: