PREMISE HEALTH OF WISCONSIN MEDICAL, S.C. is a multi-specialty clinic center in Hayward, WI. PREMISE HEALTH OF WISCONSIN MEDICAL, S.C. NPI is 1942968953. The provider is registered as an organization entity type.
The provider Is Doing Business As Lp - Hayward.
The provider's business location address is:
16531 W NURSERY RD
HAYWARD, WI
ZIP 54843-100
Phone: (715) 699-8019
The provider's authorized official is Jonathan Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 52D2232785 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/7/2021 and was last updated on 10/13/2022.