PREMISE HEALTH OF WISCONSIN MEDICAL, S.C.

HAYWARD, WI
NPI1942968953
Doing Business AsLP - HAYWARD
Entity TypeOrganization
Authorized ContactJONATHAN LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2021-12-07
Last Update Date2022-10-13
Business Address
PREMISE HEALTH OF WISCONSIN MEDICAL, S.C.
16531 W NURSERY RD
HAYWARD, WI 54843-6100
Phone number: 715-699-8019
Mailing Address
PREMISE HEALTH OF WISCONSIN MEDICAL, S.C.
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number: