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 is a Family Medicine Physician 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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