Prevea Regional Services, Inc.

NPI #1194748061 in Green Bay, Wisconsin

Provider Information

NPI Number
1194748061
Entity Type
Organization
Organization Name
Prevea Regional Services, Inc.
Primary Specialty
Family Medicine
Enumeration Date
Jul 25, 2006
Last Updated
Sep 10, 2008

Practice Location

Address
2710 EXECUTIVE DR
ZIP Code
54304-5496
Phone
(920) 496-4700

Authorized Official

Name
RICHARD ROLSTON, MD
Title
PRESIDENT AND CEO
Phone
(920) 496-4700

Specialties & Taxonomy Codes

Specialty
Family Medicine

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