| NPI | 1356322440 |
|---|---|
| Doing Business As | PROHEALTH MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | THOMAS W JOHNSON Reimbursement Manager 262-928-4704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2025-07-23 |