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PROHEALTH MEDICAL GROUP INC

Allergy and Immunology

Waukesha, Wisconsin

Provider NPI: 1114966231

Organization Information:
Organization Name:  PROHEALTH MEDICAL GROUP INC


Practice Location:
N16W24131 RIVERWOOD DR  WAUKESHA, WI 53188 US
Tel: 262-696-0808  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N104100000XBehavioral Health & Social Service Providers
Social Worker
N207K00000XPhysicians
Allergy & Immunology
N207N00000XPhysicians
Dermatology
N207Q00000XPhysicians
Family Medicine
N207V00000XPhysicians
Obstetrics & Gynecology
N207X00000XPhysicians
Orthopaedic Surgery
N207Y00000XPhysicians
Otolaryngology
N208000000XPhysicians
Pediatrics
N2084N0400XPhysicians
Psychiatry & Neurology
N208600000XPhysicians
Surgery
N208800000XPhysicians
Urology
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Y207R00000XPhysicians
Internal Medicine

Other Provider Identifiers:

IssuerNumberStateType
DME0505180015WI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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