PREMISE HEALTH OF WISCONSIN MEDICAL, S.C. is a multi-specialty clinic center in Middleton, WI. PREMISE HEALTH OF WISCONSIN MEDICAL, S.C. NPI is 1912690439. The provider is registered as an organization entity type.
The provider's business location address is:
7601 DISCOVERY DR
MIDDLETON, WI
ZIP 53562-528
Phone: (608) 338-0400
Fax: (608) 824-8817
The provider's authorized official is Jonathan Leizmaan .
The authorized official title is President and has the following contact phone number (615) 468-6270.
The CLIA number assigned to this NPI record is 52D2166605 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/31/2023 and was last updated on 5/31/2023.