Proactive MD Wi SC
Proactive MD Wi SC is a Primary Care Clinic/Center in Waukesha, Wisconsin. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
20611 Watertown Rd Ste CWaukesha, WI 53186-1871
Phone: (864) 501-0751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1932935962 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jody Addair — Clinical Ops Project Coordinator · (317) 556-0017 |
| Other names | Proactive Md Family Health Center |
| NPI enumerated | September 9, 2024 |
| Last updated in NPPES | September 9, 2024 |
| Certification date | September 8, 2024 |
| Mailing address | 124 Allawood Ct, Simpsonville, SC 29681-6207 |
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