Organization · Type 2 NPI

Premise Health of Wisconsin Medical SC

Multi-Specialty Clinic/Center · Windsor, WI

NPI number 1912690439 Active

Practice location

6091 Pepsi Way
Windsor, WI 53598

Call (608) 338-0400 Map

Fax (608) 824-8817

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...

NPI record

NPI: 1912690439
Entity type: Organization (Type 2)
Issued: May 31, 2023
Last updated: Feb 5, 2026
Status: Active

Other names

<unavail>
Kwik Trip Center for Health, Deforest · doing business as
Kwik Trip Center for Health, Deforest · doing business as

Authorized official

Edward William Schwartz
President
(844) 407-7557

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1912690439

Premise Health of Wisconsin Medical SC's National Provider Identifier is 1912690439, issued on May 31, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Windsor, WI. The record was last updated on Feb 5, 2026.