NPI | 1417300518 |
---|---|
Doing Business As | PREVEA SHEBOYGAN |
Entity Type | Organization |
Authorized Contact | ASHOK RAI President / CEO 920-496-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: WI 149367) |
Enumeration Date | 2016-07-13 |
Last Update Date | 2022-01-12 |