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Organization
PREVEA REGIONAL SERVICES, INC.
Active
Organization
PREVEA REGIONAL SERVICES, INC.
Active
Other names
Prevea Regional
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ROLSTON MD (PRESIDENT AND CEO)
(920) 496-4700
Entity
Organization
Contact information
Practice address
2710 EXECUTIVE DR, GREEN BAY, WI 54304-5496
(920) 496-4700
(920) 496-4705
Mailing address
PO BOX 19070, PREVEA HEALTH REGIONAL, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 496-4705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
09/10/2008
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