Individual
JANE L. WALLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES, MUKWONAGO, WI 53149-8475
(262) 928-1900
(262) 363-1949
Mailing address
N17W24100 RIVERWOOD DR, PROHEALTH CARE MEDICAL ASSOCIATES INC SUITE 250, WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44072
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34445600
—
WI
Enumeration date
02/09/2006
Last updated
11/09/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us