Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prohealth Medical Group Inc

Organization Dermatology Physician · NPI 1043503030

Prohealth Medical Group Inc is a Dermatology Physician in Sussex, Wisconsin. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
10
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

N57W24950 N Corporate Cir
Sussex, WI 53089-4383
Phone: (262) 820-3093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Dermatology Physician Taxonomy 207N00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Otolaryngology Physician Taxonomy 207Y00000X
Hematology (Pathology) Physician Taxonomy 207ZH0000X
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X
Pediatrics Physician Taxonomy 208000000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1043503030
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProhealth Medical Group Inc
Authorized official Peter Geiss, Md — President · (262) 928-8669
NPI enumeratedMay 24, 2011
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022
Mailing addressN17w24100 Riverwood Dr, Suite 250, Waukesha, WI 53188-1177

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