Provider First Line Business Practice Location Address:
13750 W NATIONAL AVE
Provider Second Line Business Practice Location Address:
PROHEALTH CARE MEDICAL ASSOCIATES INC.
Provider Business Practice Location Address City Name:
NEW BERLIN
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53151-4588
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-789-1699
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/14/2006