| Prohealth Care Medical Associates | |
|
800 Main Street Room So173 Pewaukee WI 53072-4601 | |
| (262) 695-1888 | |
| Not Available |
| Full Name | Prohealth Care Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 800 Main Street, Pewaukee, 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 Care Medical Associates N17 W24100 Riverwood Dr Suite 250 Waukesha WI 53188-1131 Ph: (262) 928-4100 | Prohealth Care Medical Associates 800 Main Street Room So173 Pewaukee WI 53072-4601 Ph: (262) 695-1888 |
| NPI Number | 1427199215 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 05/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427199215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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