Provider First Line Business Practice Location Address:
PROHEALTH CARE MEDICAL CENTERS-MUSKEGO
Provider Second Line Business Practice Location Address:
S69 W15636 JANESVILLE ROAD
Provider Business Practice Location Address City Name:
MUSKEGO
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-928-7000
Provider Business Practice Location Address Fax Number:
414-422-2075
Provider Enumeration Date:
02/10/2006