Organization · Type 2 NPI
Premise Health of Wisconsin Medical SC
Multi-Specialty Clinic/Center · Milwaukee, WI
NPI number
1376260646
Active
Practice location
4400 W State St
Milwaukee, WI 53208-3140
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1376260646
Premise Health of Wisconsin Medical SC's National Provider Identifier is 1376260646, issued on Oct 26, 2022. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Milwaukee, WI. The record was last updated on Feb 4, 2026.