Organization · Type 2 NPI

Proactive MD Wi SC

Primary Care Clinic/Center · Franklin, WI

NPI number 1790662484 Active

Practice location

8429 W Forest Hill Ave
Franklin, WI 53132-9705

Mailing address

86 Villa Rd Ste 100
Greenville, SC 29615-3052

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1790662484

Proactive MD Wi SC's National Provider Identifier is 1790662484, issued on Aug 16, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Franklin, WI. The record was last updated on Sep 2, 2026.