| NPI | 1194748061 |
|---|---|
| Doing Business As | PREVEA REGIONAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD ROLSTON President And CEO 920-496-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-09-10 |