Organization · Type 2 NPI

Premise Health of Wisconsin Medical SC

Multi-Specialty Clinic/Center · Milwaukee, WI

NPI number 1912484635 Active

Practice location

633 E Mason St
Milwaukee, WI 53202-3813

Fax (414) 655-5730

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...

6 other providers at this address

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About NPI 1912484635

Premise Health of Wisconsin Medical SC's National Provider Identifier is 1912484635, issued on Jul 25, 2018. 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 Apr 17, 2026.