OrganizationActive
Premise Health of Connecticut Medical, P.C.
NPI 1922383744 · Primary Care Clinic/Center · Tomahawk, WI
Provider details
- NPI number
- 1922383744
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Leizman, President(216) 479-9063
Specialties & taxonomies
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
- Occupational Medicine Clinic/Center261QX0100X
Ambulatory Health Care Facilities
Practice location
426 E Somo Ave
Tomahawk, WI 54487-1536
Phone: (715) 453-1768
Fax: (715) 453-0540
Approximate (ZIP-level) locationGet directions
Mailing address
1690616906 Collections Ctr Dr
Chicago, IL 60693-0169
Other names (DBA / former)
- Doing business as
- Harley Davidson Health Center-Tomahawk
- Doing business as
- Harley Davidson Health Center-Tomahawk
Registry dates
- Enumerated
- 2011-10-12
- Last updated
- 2022-08-15
- Certified
- 2022-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.