| Prohealth Care Medical Associates | |
|
N4w22370 Bluemound Rd Waukesha WI 53186-1683 | |
| (262) 928-4880 | |
| (262) 547-8820 |
| Full Name | Prohealth Care Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | N4w22370 Bluemound Rd, Waukesha, Wisconsin |
| Authorized Official Name and Position | Jim Lyons (PRESIDENT) |
| Authorized Official Contact | 2629287636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Care Medical Associates N17w24100 Riverwood Dr Suite 250 Waukesha WI 53188-1177 Ph: (262) 928-4100 | Prohealth Care Medical Associates N4w22370 Bluemound Rd Waukesha WI 53186-1683 Ph: (262) 928-4880 |
| NPI Number | 1194866962 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 05/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194866962 | NPI | - | NPPES |
| 32851800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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