Individual
JON L WOOLEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC, MUKWONAGO, WI 53149-8475
(262) 928-1900
(262) 363-1949
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
Primary
43670
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34151700
—
WI
Enumeration date
02/09/2006
Last updated
12/30/2011
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