NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1386897965
PROHEALTH MEDICAL GROUP INC
N17W24100 RIVERWOOD DR
WAUKESHA
WI
531881177
1447211404
JOHNSON
DALE
ALAN
820 SUMMIT AVE
OCONOMOWOC
WI
530663973
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