Prohealth Medical Group Inc | |
N16w24131 Riverwood Dr Waukesha WI 53188-1106 | |
(262) 696-0808 | |
Not Available |
Full Name | Prohealth Medical Group Inc |
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Speciality | Internal Medicine |
Location | N16w24131 Riverwood Dr, Waukesha, Wisconsin |
Authorized Official Name and Position | Brian T Lipman (PRESIDENT CLINIC DIVISION) |
Authorized Official Contact | 2629288669 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prohealth Medical Group Inc 725 American Ave Medical Staff Office Waukesha WI 53188-5031 Ph: (262) 928-3270 | Prohealth Medical Group Inc N16w24131 Riverwood Dr Waukesha WI 53188-1106 Ph: (262) 696-0808 |
NPI Number | 1114966231 |
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Provider Enumeration Date | 06/05/2006 |
Last Update Date | 05/23/2022 |
Certification Date | 05/23/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114966231 | NPI | - | NPPES |
0505180015 | Other | WI | DME |
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