Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premise Health of Connecticut Medical, PC

Organization Contractor · NPI 1326202367

Premise Health of Connecticut Medical, PC is a Contractor 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