Organization · Type 2 NPI

Premise Health of Wisconsin Medical SC

Multi-Specialty Clinic/Center · Hayward, WI

NPI number 1942968953 Active

Practice location

16531 W Nursery Rd
Hayward, WI 54843-6100

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...

About NPI 1942968953

Premise Health of Wisconsin Medical SC's National Provider Identifier is 1942968953, issued on Dec 7, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Hayward, WI. The record was last updated on Feb 4, 2026.