Organization · Type 2 NPI

Premise Health of Wisconsin Medical SC

Multi-Specialty Clinic/Center · Appleton, WI

NPI number 1922791789 Active

Practice location

2175 S Memorial Dr
Appleton, WI 54915-1414

Call (920) 202-5420 Map

Fax (920) 738-5580

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 1922791789

Premise Health of Wisconsin Medical SC's National Provider Identifier is 1922791789, issued on May 30, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Appleton, WI. The record was last updated on Feb 5, 2026.