Prohealth Medical Group INC

NPI #1891836649 in Mukwonago, Wisconsin

Provider Information

NPI Number: 1891836649
Entity Type: Organization
Organization Name: Prohealth Medical Group INC
Subpart: Yes (part of a larger organization)
Parent Organization: PROHEALTH MEDICAL GROUP INC
Primary Specialty: Family Medicine
Enumeration Date: Feb 12, 2007
Last Updated: May 24, 2022

Practice Location

Address: 240 W. MAPLE AVENUE
City: Mukwonago
State: Wisconsin
ZIP Code: 53149-8475
Phone: (262) 928-1900

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X
Dermatology	207N00000X
Internal Medicine	207R00000X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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