Prohealth Medical Group INC

NPI #1023753688 in Waukesha, Wisconsin

Provider Information

NPI Number
1023753688
Entity Type
Organization
Organization Name
Prohealth Medical Group INC
Subpart
Yes (part of a larger organization)
Parent Organization
PROHEALTH MEDICAL GROUP INC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Apr 28, 2022
Last Updated
May 23, 2022

Practice Location

Address
1111 DELAFIELD ST
ZIP Code
53188-3417
Phone
(262) 928-4300

Authorized Official

Name
THOMAS W JOHNSON
Title
REIMBURSEMENT MANAGER
Phone
(262) 928-4704

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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