Prohealth Medical Group Inc | |
790 Cornerstone Crossing Waterford WI 53185-4582 | |
(262) 928-1977 | |
Not Available |
Full Name | Prohealth Medical Group Inc |
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Speciality | Clinic/center - Multi-specialty |
Location | 790 Cornerstone Crossing, Waterford, Wisconsin |
Authorized Official Name and Position | Thomas W Johnson (REIMBURSEMENT MANAGER) |
Authorized Official Contact | 2629284704 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prohealth Medical Group Inc N17w24100 Riverwood Dr Waukesha WI 53188-1127 Ph: () - | Prohealth Medical Group Inc 790 Cornerstone Crossing Waterford WI 53185-4582 Ph: (262) 928-1977 |
NPI Number | 1417627514 |
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Provider Enumeration Date | 09/20/2021 |
Last Update Date | 05/23/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417627514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Mustansir Majeed Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 | |
St George Clinics, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 E Main St, Waterford, WI 53185 Phone: 262-923-3777 | |
Randall Schmidt Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257 |