Prevea Clinic, Inc.

NPI #1326177999 in Seymour, Wisconsin

Provider Information

NPI Number
1326177999
Entity Type
Organization
Organization Name
Prevea Clinic, Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 2, 2007
Last Updated
Nov 14, 2007

Practice Location

Address
958 FOOTE ST
ZIP Code
54165-1044
Phone
(920) 496-4700

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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