Prairie Ridge Health Inc.
NPI #1699534545 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1699534545
- Entity Type
- Organization
- Organization Name
- Prairie Ridge Health Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRAIRIE RIDGE HEALTH, INC.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 14, 2024
- Last Updated
- Mar 14, 2024
Practice Location
- Address
- 155 SOUTH MALLARD DRIVE
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590
- Phone
- (920) 623-2200
Authorized Official
- Name
- MELISSA MANGAN
- Title
- CFO
- Phone
- (920) 623-1369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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