Organization · Type 2 NPI
Proactive MD Wi SC
Primary Care Clinic/Center · Waukesha, WI
NPI number
1932935962
Active
Practice location
20611 Watertown Rd Ste C
Waukesha, WI 53186-1871
Mailing address
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1932935962
Proactive MD Wi SC's National Provider Identifier is 1932935962, issued on Sep 9, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Waukesha, WI. The record was last updated on Sep 2, 2026.