| Prohealth Medical Group Inc | |
|
W165n5595 Creekwood Xing Menomonee Falls WI 53051-0685 | |
| (262) 373-2600 | |
| Not Available |
| Full Name | Prohealth Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | W165n5595 Creekwood Xing, Menomonee Falls, Wisconsin |
| Authorized Official Name and Position | Jim Lyons (PRESIDENT) |
| Authorized Official Contact | 2629287636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Medical Group Inc N17w24100 Riverwood Dr Suite 250 Waukesha WI 53188-1177 Ph: (262) 928-6225 | Prohealth Medical Group Inc W165n5595 Creekwood Xing Menomonee Falls WI 53051-0685 Ph: (262) 373-2600 |
| NPI Number | 1912290909 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 05/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912290909 | NPI | - | NPPES |
| 32652600 | Medicaid | WI |
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