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Organization
PREVEA CLINIC, INC.
Active
Organization
PREVEA CLINIC, INC.
Active
Parent organization
PREVEA CLINIC INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREVEA CLINIC INC
Authorized official
DR. ASHOK RAI MD (PRESIDENT AND CEO)
(920) 496-4700
Entity
Organization
Contact information
Practice address
2449 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-4410
(920) 496-4700
Mailing address
PO BOX 13008, GREEN BAY, WI 54307-3008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
08/26/2016
Last updated
01/12/2022
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