PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.

MENOMONEE FALLS, WI
NPI1770868135
Doing Business AsHARLEY DAVIDSON HEALTH CENTER- PILGRIM ROAD
Entity TypeOrganization
Authorized ContactJON LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QX0100X Clinic/Center, Occupational Medicine
Additional Taxonomies261QP2300X Clinic/Center, Primary Care
261QU0200X Clinic/Center, Urgent Care
Enumeration Date2011-10-18
Last Update Date2022-08-15
Business Address
PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.
W156 N 9000 RILGRIM RD
MENOMONEE FALLS, WI 53051
Phone number: 262-502-8752
Mailing Address
PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.
16906 COLLECTION CENTER DR
CHICAGO, IL 60693-0169
Phone number: 262-502-8752