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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