Organization
PREMISE HEALTH OF WISCONSIN MEDICAL SC
Active
Other names
LP - Hayward
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WILLIAM SCHWARTZ (PRESIDENT)
(844) 407-7557
Entity
Organization
Contact information
Practice address
16531 W NURSERY RD, HAYWARD, WI 54843-6100
(715) 699-8019
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
12/07/2021
Last updated
02/04/2026
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