Organization
PREMIER HEALTH S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFUEKO BELINDA OKUNDAYE M.D. (PRESIDENT)
(920) 727-4946
Entity
Organization
Contact information
Practice address
1540 LYON DR, NEENAH, WI 54956-5069
(920) 727-4946
(920) 727-4956
Mailing address
1540 LYON DR, NEENAH, WI 54956-5069
(920) 727-4946
(920) 727-4956
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
37832
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32229200
—
WI
Enumeration date
07/31/2006
Last updated
05/17/2013
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