| NPI | 1912290909 |
|---|---|
| Doing Business As | PROHEALTH CARE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JIM LYONS President 262-928-7636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 208200000X Plastic Surgery | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2022-05-24 |