| Prohealth Medical Group Inc | |
|
700 Quinlan Dr Pewaukee WI 53072-1823 | |
| (262) 695-5800 | |
| Not Available |
| Full Name | Prohealth Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 700 Quinlan Dr, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Peter Geiss, Md (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 250 Waukesha WI 53188-1177 Ph: (262) 928-4100 | Prohealth Medical Group Inc 700 Quinlan Dr Pewaukee WI 53072-1823 Ph: (262) 695-5800 |
| NPI Number | 1396887709 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 05/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396887709 | NPI | - | NPPES |
| 32855700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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