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Organization

PREVEA CLINIC, INC.

Active
Other names
Prevea Health - DME Ashwaubenon
Organization subpart
No

Provider details

NPI number
Authorized official
ASHOK RAI MD (PRESIDENT & CEO)
(920) 496-4700
Entity
Organization

Contact information

Practice address
760 PILGRIM WAY, GREEN BAY, WI 54304-5263
(920) 496-4700
Mailing address
PO BOX 13008, GREEN BAY, WI 54307-3008
(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
01/12/2022
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