Graduated: 2011
NPI: 1497041560
Practice Locations (2)
PRAIRIE RIDGE HEALTH INC
1515 PARK AVE
COLUMBUS, WI 539251618
9206232200
PRAIRIE RIDGE HEALTH INC
155 S MALLARD DR
SUN PRAIRIE, WI 535908520
6088344800
Source: CMS National Downloadable File, September 2026.