Individual
JOHN E. DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
S69W15636 JANESVILLE RD, PROHEALTH CARE MEDICAL ASSOCIATES INC, MUSKEGO, WI 53150-9330
(262) 928-7000
(414) 422-2075
Mailing address
N17 W24100 RIVERWOOD DRIVE SUITE 250, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
14574
AZ
208000000X
Pediatrics Physician
Primary
38231
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32268900
—
WI
Enumeration date
02/10/2006
Last updated
12/30/2011
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