Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prairie Ridge Health Inc

Organization Family Medicine Physician · NPI 1699534545

Prairie Ridge Health Inc provides Family Medicine Physician services in Sun Prairie, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

155 S Mallard Dr
Sun Prairie, WI 53590
Phone: (920) 623-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1699534545
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrairie Ridge Health, Inc
Authorized official Melissa Mangan — Cfo · (920) 623-1369
Other names Prairie Ridge Health Clinic-Sun Prairie
NPI enumeratedMarch 14, 2024
Last updated in NPPESMarch 14, 2024
Certification dateMarch 13, 2024
Mailing address1515 Park Ave, Columbus, WI 53925-1618

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