Organization · Type 2 NPI
Premise Health of Connecticut Medical, P.c.
Primary Care Clinic/Center · Tomahawk, WI
NPI number
1922383744
Active
Practice location
426 E Somo Ave
Tomahawk, WI 54487-1536
Fax (715) 453-0540
Mailing address
1690616906 Collections Ctr Dr
Chicago, IL 60693-0169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Urgent Care Clinic/Center | 261QU0200X | None listed |
| Occupational Medicine Clinic/Center | 261QX0100X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1922383744
Premise Health of Connecticut Medical, P.c.'s National Provider Identifier is 1922383744, issued on Oct 12, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Tomahawk, WI. The record was last updated on Aug 15, 2022.