| NPI | 1053562959 |
|---|---|
| Doing Business As | PROHEALTH CARE MORELAND SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | RONALD G BULLEN Executive Director 262-928-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2012-05-16 |