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Organization
WAUKESHA HEALTH CARE INC
Active
Organization
WAUKESHA HEALTH CARE INC
Active
Other names
ProHealth Care Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JIM LYONS (PRESIDENT)
(262) 928-7636
Entity
Organization
Contact information
Practice address
N4W22370 BLUEMOUND RD, WAUKESHA, WI 53186-1683
(262) 928-4880
(262) 547-8820
Mailing address
N17W24100 RIVERWOOD DR, SUITE 250, WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32851800
—
WI
Enumeration date
02/12/2007
Last updated
05/19/2011
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