Organization
PREVENTIVE CARDIOLOGY OF CENTRAL WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL S PERRIGO MD (PRESIDENT)
(715) 370-5433
Entity
Organization
Contact information
Practice address
3910 WESTON AVE, WESTON, WI 54476
(715) 370-5433
(715) 359-3485
Mailing address
BOX 2003, WAUSAU, WI 54402-2003
(715) 370-5433
(715) 359-3485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22225020020
WI
207RC0000X
Cardiovascular Disease Physician
22225020020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34009800
—
WI
Enumeration date
08/04/2006
Last updated
09/11/2025
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