| 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 |