Organization
PROHEALTH MEDICAL GROUP INC
Active
Parent organization
PROHEALTH MEDICAL GROUP INC
Other names
Pewaukee Medical Oncology
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
N16W24131 RIVERWOOD DR, WAUKESHA, WI 53188-1106
(262) 696-0889
(262) 696-0922
Mailing address
N16W24131 RIVERWOOD DR, WAUKESHA, WI 53188-1106
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
07/30/2025
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