| Preventive Cardiology Of Central Wisconsin Llc | |
|
3910 Weston Ave Weston WI 54476 | |
| (715) 370-5433 | |
| (715) 359-3485 |
| Full Name | Preventive Cardiology Of Central Wisconsin Llc |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 3910 Weston Ave, Weston, Wisconsin |
| Authorized Official Name and Position | Earl S Perrigo (PRESIDENT) |
| Authorized Official Contact | 7153705433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive Cardiology Of Central Wisconsin Llc Box 2003 Wausau WI 54402-2003 Ph: (715) 370-5433 | Preventive Cardiology Of Central Wisconsin Llc 3910 Weston Ave Weston WI 54476 Ph: (715) 370-5433 |
| NPI Number | 1174531123 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174531123 | NPI | - | NPPES |
| 34009800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 22225020020 (Wisconsin) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 22225020020 (Wisconsin) | Primary |
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