Promed Preferred Wi SC
Promed Preferred Wi SC is a Family Medicine Physician in Hudson, Wisconsin. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
155 2nd St SHudson, WI 54016-2234
Phone: (615) 499-3165
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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 | 1013735802 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lev Grinman — Owner · (615) 499-3165 |
| NPI enumerated | September 30, 2024 |
| Last updated in NPPES | September 30, 2024 |
| Certification date | September 30, 2024 |
| Mailing address | 329 S Oyster Bay Rd Ste 2059, Plainview, NY 11803-3301 |
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Dr. Mark D Stannard, MD
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