Organization
PREVEA CLINIC, INC.
Active
Other names
Prevea Health - DME Oconto Regional
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D ROLSTON MD (PRESIDENT & CEO)
(920) 496-4700
Entity
Organization
Contact information
Practice address
620 SMITH AVE, OCONTO, WI 54153-1080
(920) 496-4700
Mailing address
620 SMITH AVE, OCONTO, WI 54153-1080
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
11/14/2007
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