Organization
WAUKESHA HEALTH CARE, INC.
Active
Other names
ProHealth Care Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JIM LYONS (PRESIDENT)
(262) 928-7636
Entity
Organization
Contact information
Practice address
800 MAIN STREET, ROOM SO173, PEWAUKEE, WI 53072-4601
(262) 695-1888
Mailing address
N17 W24100 RIVERWOOD DR, SUITE 250, WAUKESHA, WI 53188-1131
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
05/19/2011
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