# PREVENTIVE CARDIOLOGY OF CENTRAL WISCONSIN LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174531123
- **Authorized official:** EARL S PERRIGO MD (PRESIDENT)
- **Authorized official phone:** (715) 370-5433

## Contact information

- **Practice address:** 3910 WESTON AVE, WESTON, WI 54476
- **Practice address phone:** (715) 370-5433
- **Practice address fax:** (715) 359-3485
- **Mailing address:** BOX 2003, WAUSAU, WI 54402-2003
- **Mailing address phone:** (715) 370-5433
- **Mailing address fax:** (715) 359-3485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 22225020020 | WI | Yes |
| 207RC0000X | Cardiovascular Disease Physician | 22225020020 | WI | — |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 09/11/2025