Organization · Type 2 NPI
Prohealth Medical Group Inc
Multi-Specialty Clinic/Center · Pewaukee, WI
NPI number
1538839618
Active
Practice location
1279 Capitol Dr
Pewaukee, WI 53072-2504
Mailing address
N17W24100 Riverwood Dr
Waukesha, WI 53188-1127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1538839618
Prohealth Medical Group Inc's National Provider Identifier is 1538839618, issued on Sep 20, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Pewaukee, WI. The record was last updated on May 23, 2022.