Prohealth Medical Group Inc
Legal Business Name
Prohealth Medical Group Inc
NPI Number
1043503030
NPI Type
Organization
Enumeration Date
05/24/2011
Specialties
(Taxonomies)Name
Code
207ZP0102X
207RC0000X
207N00000X
2085R0202X
207ZH0000X
207R00000X
207Y00000X
208000000X
208600000X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
N17W24100 RIVERWOOD DR
N57W24950 N CORPORATE CIR
City
Waukesha
Sussex
State
WI
WI
Postal Code
53188-1177
53089-4383
Country
US
US
Telephone Number
(262) 928-4100
(262) 820-3093
Authorized Official
Name
Peter Geiss, Md
Title or Position
PRESIDENT
Telephone Number
(262) 928-8669
Identifiers
Identifier
32652600
0505180002
Identifier State
WI
WI
Identifier Issuer
Unknown
DME
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/23/2022