Prohealth Medical Group INC

NPI #1225179005 in Waukesha, Wisconsin

Provider Information

NPI Number: 1225179005
Entity Type: Organization
Organization Name: Prohealth Medical Group INC
Subpart: Yes (part of a larger organization)
Parent Organization: PROHEALTH MEDICAL GROUP INC
Primary Specialty: Pediatrics
Enumeration Date: Feb 12, 2007
Last Updated: May 23, 2022

Practice Location

Address: 721 AMERICAN AVE
Address 2: SUITE 309
City: Waukesha
State: Wisconsin
ZIP Code: 53188-5071
Phone: (262) 928-4455

Authorized Official

Name: PETER T GEISS, MD
Title: PRESIDENT
Phone: (262) 928-8669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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