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Organization
PROHEALTH MEDICAL GROUP INC
Active
Organization
PROHEALTH MEDICAL GROUP INC
Active
Parent organization
PROHEALTH MEDICAL GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROHEALTH MEDICAL GROUP INC
Authorized official
THOMAS W JOHNSON (REIMBURSEMENT MANAGER)
(262) 928-4704
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST, WAUKESHA, WI 53188-3417
(262) 928-4300
Mailing address
N17W24100 RIVERWOOD DR STE 250, WAUKESHA, WI 53188-1177
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
05/23/2022
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