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
THOMAS W JOHNSON (REIMBURSEMENT MANAGER)
(262) 928-4704
Entity
Organization
Contact information
Practice address
1011 SPRING CITY DR, WAUKESHA, WI 53186-5934
(262) 928-0370
Mailing address
N17W24100 RIVERWOOD DR STE 250, WAUKESHA, WI 53188-1177
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
05/24/2022
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