NPI Registry.org

Premise Health Of Minnesota, P.c

NPI Registration Record

Provider / OrganizationNPIDate Certified
PREMISE HEALTH OF MINNESOTA, P.C19126298662022-09-16

The organization Premise Health Of Minnesota, P.c is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1912629866. Registration indicates Premise Health Of Minnesota, 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, P.C
Other Provider OrganizationPIPE TRADES SERVICES MN FAMILY HEALT
Practice Office Address4461 WHITE BEAR PKWY STE 2
WHITE BEAR LAKE, MN US
Practice Office Telephone6513488851
Mailing Address5500 MARYLAND WAY STE 120
BRENTWOOD, TN 370274993 US
Authorized OfficialJONATHAN LEIZMAN, PRESIDENT
6513488851
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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