Organization · Type 2 NPI

Prohealth Medical Group Inc

Non-Pharmacy Dispensing Site · Waukesha, WI

NPI number 1316752900 Active

Practice location

N16W24131 Riverwood Dr
Waukesha, WI 53188-1106

Fax (262) 696-0922

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

30 other providers at this address

Other non-pharmacy dispensing site providers in Waukesha

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NPI record

NPI: 1316752900
Entity type: Organization (Type 2)
Issued: Feb 11, 2025
Last updated: Jul 30, 2025
Status: Active
Subpart: Yes of Prohealth Medical Group Inc

Other names

<unavail>
Pewaukee Medical Oncology · doing business as
Pewaukee Medical Oncology · doing business as

Authorized official

Thomas W Johnson
Reimbursement Manager
(262) 928-4704

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About NPI 1316752900

Prohealth Medical Group Inc's National Provider Identifier is 1316752900, issued on Feb 11, 2025. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Waukesha, WI. The record was last updated on Jul 30, 2025.