PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C. is a multi-specialty clinic center in Milwaukee, WI. PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C. NPI is 1912484635. The provider is registered as an organization entity type.
The provider Is Doing Business As Mutual Health Center Downtown.
The provider's business location address is:
633 E MASON ST
MILWAUKEE, WI
ZIP 53202-813
Phone: (414) 655-8400
Fax: (414) 655-5730
The provider's authorized official is Jon 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 52D2153525 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 7/25/2018 and was last updated on 8/15/2022.