Prohealth Medical Group Inc
Prohealth Medical Group Inc is a General Practice Physician in Waterford, Wisconsin. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
808 Cornerstone CtWaterford, WI 53185-4562
Phone: (262) 928-1977
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1417627514 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Prohealth Medical Group Inc |
| Authorized official | Thomas Johnson — Reimbursement Manager · (262) 928-4704 |
| NPI enumerated | September 20, 2021 |
| Last updated in NPPES | January 22, 2025 |
| Certification date | January 22, 2025 |
| Mailing address | N17w24100 Riverwood Dr, Waukesha, WI 53188-1127 |