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
721 AMERICAN AVE, SUITE 410, WAUKESHA, WI 53188-5071
(262) 928-2680
(262) 928-2689
Mailing address
N17W24100 RIVERWOOD DR STE 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
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
06/01/2011
Last updated
05/24/2022
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