Provider First Line Business Practice Location Address:
721 AMERICAN AVE STE 205
Provider Second Line Business Practice Location Address:
PROHEALTH CARE MEDICAL ASSOCIATES INC.
Provider Business Practice Location Address City Name:
WAUKEHSA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53188-5031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-928-4695
Provider Business Practice Location Address Fax Number:
262-928-5576
Provider Enumeration Date:
11/07/2006