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 GEISS, MD (PRESIDENT)
(262) 928-8669
Entity
Organization
Contact information
Practice address
1306 W WISCONSIN AVE, SUITE 1002, OCONOMOWOC, WI 53066-2647
(262) 560-2300
Mailing address
N17W24100 RIVERWOOD DR, SUITE 250, WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
05/23/2022
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