Prohealth Medical Group Inc.

NPI #1356322440 in Waukesha, Wisconsin

Provider Information

NPI Number: 1356322440
Entity Type: Organization
Organization Name: Prohealth Medical Group Inc.
Primary Specialty: Pediatrics
Enumeration Date: Nov 7, 2005
Last Updated: Jul 23, 2025

Practice Location

Address: N17W24100 RIVERWOOD DR
City: Waukesha
State: Wisconsin
ZIP Code: 53188-1177
Phone: (262) 928-4100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X
Dermatology	207N00000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Ophthalmology	207W00000X
Orthopaedic Surgery	207X00000X
Otolaryngology	207Y00000X
Physical Medicine & Rehabilitation	208100000X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Surgery	208600000X
Urology	208800000X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Radiology — Radiology	261QR0200X
Pediatrics	208000000X	Primary

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