Organization · Type 2 NPI

Premise Health of Wisconsin Medical S C

Multi-Specialty Clinic/Center · Tomahawk, WI

NPI number 1710644075 Active

Practice location

318 N 6th St
Tomahawk, WI 54487-1423

Fax (715) 425-5848

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1710644075

Premise Health of Wisconsin Medical S C's National Provider Identifier is 1710644075, issued on Nov 22, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Tomahawk, WI. The record was last updated on Feb 17, 2026.