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
PETER T GEISS MD (PRESIDENT)
(262) 928-8669
Entity
Organization
Contact information
Practice address
820 SUMMIT AVE, OCONOMOWOC, WI 53066-3900
(262) 567-0223
(262) 567-6380
Mailing address
N17W24100 RIVERWOOD DR, SUITE 150, WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
WI
Other
Enumeration date
10/28/2008
Last updated
05/23/2022
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