Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Premise Health of Connecticut Medical, PC

Organization Contractor · NPI 1326202367

Premise Health of Connecticut Medical, PC provides Contractor services in South Milwaukee, Wisconsin. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1100 Milwaukee Ave
South Milwaukee, WI 53172-2013
Phone: (414) 768-4444
Fax: (414) 768-4782
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1326202367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Leizman — President · (216) 479-9063
NPI enumeratedJuly 17, 2008
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing address40 Burton Hills Blvd, Suite 200, Nashville, TN 37215-6155