| Prohealth Medical Group Inc | |
|
808 Cornerstone Ct Waterford WI 53185-4562 | |
| (262) 928-1977 | |
| Not Available |
| Full Name | Prohealth Medical Group Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 808 Cornerstone Ct, Waterford, Wisconsin |
| Authorized Official Name and Position | Thomas W Johnson (REIMBURSEMENT MANAGER) |
| Authorized Official Contact | 2629284704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Medical Group Inc N17w24100 Riverwood Dr Waukesha WI 53188-1127 Ph: () - | Prohealth Medical Group Inc 808 Cornerstone Ct Waterford WI 53185-4562 Ph: (262) 928-1977 |
| NPI Number | 1417627514 |
|---|---|
| Provider Enumeration Date | 09/20/2021 |
| Last Update Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417627514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Mustansir Majeed Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 | |
St George Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 E Main St, Waterford, WI 53185 Phone: 262-923-3777 | |
Randall Schmidt Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Sharp Rd, Waterford, WI 53185 Phone: 262-534-7297 Fax: 262-534-7257 |