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

Promed Preferred Wi 2 Service Corporation

Organization Internal Medicine Physician · NPI 1952291049

Promed Preferred Wi 2 Service Corporation is an Internal Medicine Physician in Sun Prairie, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

100 Wilburn Rd Ste 100
Sun Prairie, WI 53590-1478
Phone: (615) 499-3165
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1952291049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lev Grinman — President · (615) 499-3165
NPI enumeratedJuly 8, 2025
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address329 S Oyster Bay Rd # 2059, Plainview, NY 11803-3301

Other providers in Sun Prairie