NPI 1316752900
Prohealth Medical Group INC
Practice location
- Address
- N16w24131 Riverwood Dr, Waukesha, WI 53188-1106
- Phone
- (262) 696-0889
- Fax
- (262) 696-0922
Authorised official
- Name
- Thomas W Johnson
- Title
- Reimbursement Manager
- Phone
- (262) 928-4704
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1316752900
- Entity type
- Organization
- NPI issued
- 11 Feb 2025
- Record last updated
- 30 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.