Organization

Prohealth Medical Group Inc

Legal Business Name

Prohealth Medical Group Inc

NPI Number

1043503030

NPI Type

Organization

Enumeration Date

05/24/2011

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

Provider Address