OrganizationActive
Premier Physical Medicine and Wellness Clinic
NPI 1104913623 · Physical Medicine & Rehabilitation Physician · Woodruff, WI
Provider details
- NPI number
- 1104913623
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Mullen, Owner(715) 356-9999
- License
- 33657 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1446 1st Ave
Woodruff, WI 54568-9149
Phone: (715) 356-9999
Fax: (715) 356-9894
Street-level locationGet directions
Mailing address
Po Box 1550
Woodruff, WI 54568-1550
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2009-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.