# PROHEALTH MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROHEALTH MEDICAL GROUP INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518009257
- **Legal business name:** PROHEALTH MEDICAL GROUP INC
- **Authorized official:** PETER GEISS, MD (PRESIDENT)
- **Authorized official phone:** (262) 928-8669

## Contact information

- **Practice address:** 785 SUMMIT AVE, SUITE 203, OCONOMOWOC, WI 53066-3844
- **Practice address phone:** (262) 569-8488
- **Practice address fax:** (262) 569-2775
- **Mailing address:** N17 W24100 RIVERWOOD DR., SUITE 250, WAUKESHA, WI 53188-1131
- **Mailing address phone:** (262) 928-4100
- **Mailing address fax:** (262) 928-5835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 05/23/2022