| Prohealth Medical Group Inc | |
|
820 Summit Ave Oconomowoc WI 53066-3900 | |
| (262) 567-0223 | |
| (262) 567-6380 |
| Full Name | Prohealth Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 820 Summit Ave, Oconomowoc, Wisconsin |
| Authorized Official Name and Position | Peter T Geiss (PRESIDENT) |
| Authorized Official Contact | 2629288669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Medical Group Inc N17w24100 Riverwood Dr Suite 150 Waukesha WI 53188-1177 Ph: (262) 928-4100 | Prohealth Medical Group Inc 820 Summit Ave Oconomowoc WI 53066-3900 Ph: (262) 567-0223 |
| NPI Number | 1386897965 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 05/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386897965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Wisconsin) | Primary |
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