Provider First Line Business Practice Location Address:
PROHEALTH CARE MEDICAL CENTERS-BROOKFIELD
Provider Second Line Business Practice Location Address:
2085 N. CALHOUN ROAD
Provider Business Practice Location Address City Name:
BROOKFIELD
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-928-7100
Provider Business Practice Location Address Fax Number:
262-713-7111
Provider Enumeration Date:
02/07/2006