Organization
PROHEALTH MEDICAL GROUP INC.
Active
Other names
Prohealth Medical Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W JOHNSON MD (REIMBURSEMENT MANAGER)
(262) 928-4704
Entity
Organization
Contact information
Practice address
N17W24100 RIVERWOOD DR, WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Mailing address
N17W24100 RIVERWOOD DR, WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
11/07/2005
Last updated
07/23/2025
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