Graduated: 1999
NPI: 1467499830
Practice Locations (2)
PRAIRIE RIDGE HEALTH INC
134 CORPORATE DR
BEAVER DAM, WI 539163116
9203561000
PRAIRIE RIDGE HEALTH INC
1515 PARK AVE
COLUMBUS, WI 539251618
9206232200
Source: CMS National Downloadable File, September 2026.