Prohealth Medical Group INC

NPI #1417627514 in Waterford, Wisconsin

Provider Information

NPI Number
1417627514
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 - Multi-Specialty
Enumeration Date
Sep 20, 2021
Last Updated
Jan 22, 2025

Practice Location

Address
808 CORNERSTONE CT
ZIP Code
53185-4562
Phone
(262) 928-1977

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
General Practice
Clinic/Center - Multi-SpecialtyMulti-Specialty

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