| Prairie Ridge Health Inc. | |
|
155 South Mallard Drive Sun Prairie WI 53590 | |
| (920) 623-2200 | |
| Not Available |
| Full Name | Prairie Ridge Health Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 155 South Mallard Drive, Sun Prairie, Wisconsin |
| Authorized Official Name and Position | Melissa Mangan (CFO) |
| Authorized Official Contact | 9206231369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Ridge Health Inc. 1515 Park Ave Columbus WI 53925-1618 Ph: () - | Prairie Ridge Health Inc. 155 South Mallard Drive Sun Prairie WI 53590 Ph: (920) 623-2200 |
| NPI Number | 1699534545 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699534545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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