PROHEALTH ALIGNED LLC NPI 1053562959

NPI Information

PROHEALTH ALIGNED LLC is an ambulatory surgical clinic center in Waukesha, WI. PROHEALTH ALIGNED LLC NPI is 1053562959. The provider is registered as an organization entity type.
The provider Is Doing Business As Prohealth Care Moreland Surgery Center.

The provider's business location address is:

1111 DELAFIELD ST
SUITE 100
WAUKESHA, WI
ZIP 53188-417
Phone: (262) 928-4300
Fax: (262) 928-4333

The provider's authorized official is Ronald G Bullen .
The authorized official title is Executive Director and has the following contact phone number (262) 928-6080.

The CLIA number assigned to this NPI record is 52D2291637 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2008 and was last updated on 5/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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