| NPI | 1194866962 |
|---|---|
| Doing Business As | PROHEALTH CARE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JIM LYONS President 262-928-7636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-05-19 |