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Organization

PREMISE HEALTH OF WISCONSIN MEDICAL SC

Active
Other names
Kwik Trip Center for Health, DeForest
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD WILLIAM SCHWARTZ (PRESIDENT)
(844) 407-7557
Entity
Organization

Contact information

Practice address
6091 PEPSI WAY, WINDSOR, WI 53598
(608) 338-0400
(608) 824-8817
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
05/31/2023
Last updated
02/05/2026
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