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

Premise Health of Wisconsin Medical SC

Organization Multi-Specialty Clinic/Center · NPI 1922791789

Premise Health of Wisconsin Medical SC is a Multi-Specialty Clinic/Center in Appleton, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2175 S Memorial Dr
Appleton, WI 54915-1414
Phone: (920) 202-5420
Fax: (920) 738-5580
Show map & directions

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

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1922791789
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Schwartz — President · (844) 407-7557
Other names Kwik Trip Center For Health At Appleton
NPI enumeratedMay 30, 2023
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing address5500 Maryland Way Ste 120, Brentwood, TN 37027-4993

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