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

Prohealth Medical Group Inc

Organization Non-Pharmacy Dispensing Site · NPI 1316752900

Prohealth Medical Group Inc is a Non-Pharmacy Dispensing Site in Waukesha, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025
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

N16W24131 Riverwood Dr
Waukesha, WI 53188-1106
Phone: (262) 696-0889
Fax: (262) 696-0922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1316752900
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProhealth Medical Group Inc
Authorized official Thomas Johnson — Reimbursement Manager · (262) 928-4704
Other names Pewaukee Medical Oncology; Pewaukee Medical Oncology
NPI enumeratedFebruary 11, 2025
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing addressN16w24131 Riverwood Dr, Waukesha, WI 53188-1106

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