PREMISE HEALTH OF WISCONSIN MEDICAL S C is a multi-specialty clinic center in Oshkosh, WI. PREMISE HEALTH OF WISCONSIN MEDICAL S C NPI is 1235890435. The provider is registered as an organization entity type.
The provider Is Doing Business As Three Waves Health Clinic And Wellness Center.
The provider's business location address is:
292 OHIO ST
OSHKOSH, WI
ZIP 54902-825
Phone: (920) 267-5332
Fax: (855) 253-3142
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 52D2089531 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/10/2022 and was last updated on 10/13/2022.