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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
800 MAIN STREET, ROOM SO173, PEWAUKEE, WI 53072-4601
(262) 695-1888
Mailing address
N17 W24100 RIVERWOOD DR, SUITE 250, WAUKESHA, WI 53188-1131
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
05/19/2011
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