Organization
PREMISE HEALTH OF WISCONSIN MEDICAL, S.C.
Active
Other names
Kwik Trip Center for Health at La Crosse
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WILLIAM SCHWARTZ (PRESIDENT)
(844) 877-7557
Entity
Organization
Contact information
Practice address
2835 DARLING CT STE 101, LA CROSSE, WI 54601-2755
(608) 781-4460
(608) 781-5587
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
04/29/2026
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