Organization
PREVEA
Active
Other names
Prevea Sheboygan
Organization subpart
No
Provider details
NPI number
Authorized official
ASHOK RAI MD (PRESIDENT / CEO)
(920) 496-4700
Entity
Organization
Contact information
Practice address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 803-1598
Mailing address
PO BOX 13008, GREEN BAY, WI 54307-3008
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
149367
WI
Other
Enumeration date
07/13/2016
Last updated
01/12/2022
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