Premier MD
Premier MD provides Family Medicine Physician services in Edwardsville, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
15 Sugar Creek LnEdwardsville, IL 62025-3322
Phone: (618) 510-9123
Fax: (618) 822-4095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1093411001 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Glenn Skow — Ceo · (917) 514-8740 |
| NPI enumerated | February 1, 2023 |
| Last updated in NPPES | January 9, 2026 |
| Certification date | January 9, 2026 |
| Mailing address | 15 Sugar Creek Ln, Edwardsville, IL 62025-3322 |
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