| Prohealth Medical Group Inc | |
|
2750 Golf Road Delafield WI 53018-2062 | |
| (262) 928-4900 | |
| (262) 928-4960 |
| Full Name | Prohealth Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2750 Golf Road, Delafield, Wisconsin |
| Authorized Official Name and Position | Peter Geiss, Md (PRESIDENT) |
| Authorized Official Contact | 2629288669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Medical Group Inc N17 W24100 Riverwood Dr Suite 250 Waukesha WI 53188-1131 Ph: (262) 928-4100 | Prohealth Medical Group Inc 2750 Golf Road Delafield WI 53018-2062 Ph: (262) 928-4900 |
| NPI Number | 1962543751 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 05/24/2022 |
| Medicare PECOS PAC ID | 3476465188 |
|---|---|
| Medicare Enrollment ID | O20111212000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962543751 | NPI | - | NPPES |
| 32899800 | Medicaid | WI | |
| 0505180012 | Other | WI | DME |
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