NPI Registry.org

Premise Health Of Minnesota Medical P C

NPI Registration Record

Provider / OrganizationNPIDate Certified
PREMISE HEALTH OF MINNESOTA MEDICAL P C15287803762022-09-16

The organization Premise Health Of Minnesota Medical P C is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1528780376. Registration indicates Premise Health Of Minnesota Medical P C is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Multi-Specialty, ) (Clinic/Center Multi-Specialty, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:
Entity TypeOrganization
Provider OrganizationPREMISE HEALTH OF MINNESOTA MEDICAL P C
Practice Office Address13998 MAPLE KNOLL WAY STE 101
MAPLE GROVE, MN US
Practice Office Telephone6516832434
Mailing Address5500 MARYLAND WAY STE 120
BRENTWOOD, TN 370274993 US
Authorized OfficialJONATHAN LEIZMAN, PRESIDENT
2164799063
HPT Codes
CodePractice
License No
State
261QM1300X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Multi-Specialty

Clinic/Center Multi-Specialty
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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