Active NPI 1023078037 Individual Practitioner Male Practitioner

Dr. William R. Cooper , MD

Internal Medicine • Oconomowoc, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Cooper, MD is a certified Internal Medicine practicing in Oconomowoc, WI. With approximately 33 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 1993, Dr. Cooper delivers high-quality medical care to the local community at 1185 CORPORATE CENTER DR STE 175.

Dr. Cooper is affiliated with Prohealth Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, anticoagulant management of patient taking warfarin, blood test, clotting time. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1185 Corporate Center Dr Ste 175
Prohealth Care Medical Associates Inc.

Oconomowoc, WI 530664889

Telephone 2629288400

Associated Practice Facility / Clinic

🏢 Prohealth Medical Group Inc Facility NPI 1922149707

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Oconomowoc, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs -2.0 yrs vs City Avg

City Avg: 35.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

13 Specialists

Practicing in Oconomowoc, WI (2181 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cooper (33 Years) 33 Yrs

Oconomowoc Specialty Average (35.0 Years) 35.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	462	232	$364.56	$118.84
93793 Anticoagulant management of patient taking warfarin	422	131	$59.54	$10.69
85610 Blood test, clotting time	301	50	$63.00	$4.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	165	165	$185.22	$121.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	108	50	$278.85	$100.61
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	100	30	$387.00	$118.77
99306 Initial nursing facility visit, typically 45 minutes per day	79	74	$499.06	$169.55
99213 Established patient office or other outpatient visit, typically 15 minutes	61	56	$245.95	$85.36
G0008 Administration of influenza virus vaccine	49	46	$60.00	$30.42
90653 Vaccine for influenza for injection into muscle	43	43	$105.00	$81.82
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	34	30	$388.53	$124.10
90480 Admn sarscov2 vacc 1 dose	28	26	$87.57	$40.56
91322 Sarscov2 vac 50 mcg/0.5ml im	28	26	$232.00	$152.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	22	$482.89	$163.57
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	21	14	$284.05	$72.16
69209 Removal of impacted ear wax by washing	17	17	$70.76	$15.28
99495 Transitional care management services for problem of at least moderate complexity	17	16	$695.29	$194.67
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	15	12	$405.27	$143.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	509	255	$349.22	$119.54
93793 Anticoagulant management of patient taking warfarin	414	135	$57.61	$10.88
85610 Blood test, clotting time	304	56	$61.68	$4.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	195	195	$177.41	$121.18
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	123	39	$372.78	$120.08
99306 Initial nursing facility visit, typically 45 minutes per day	115	100	$479.46	$171.70
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	94	47	$268.51	$100.64
99213 Established patient office or other outpatient visit, typically 15 minutes	56	53	$235.93	$85.19
G0008 Administration of influenza virus vaccine	56	55	$60.00	$28.93
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	53	52	$84.89	$75.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	27	$467.34	$164.57
69209 Removal of impacted ear wax by washing	30	30	$63.90	$14.14
99495 Transitional care management services for problem of at least moderate complexity	22	17	$677.27	$192.84
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	22	20	$373.41	$125.16
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	16	$152.63	$49.37
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	19	14	$278.37	$72.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$256.33	$155.42
G0009 Administration of pneumococcal vaccine	14	14	$60.29	$28.93
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	13	$105.62	$5.82
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$426.00	$281.03
91322 Sarscov2 vac 50 mcg/0.5ml im	11	11	$259.00	$143.00
90480 Admn sarscov2 vacc 1 dose	11	11	$85.00	$38.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93793 Anticoagulant management of patient taking warfarin	787	276	$55.03	$10.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	527	248	$334.90	$121.14
85610 Blood test, clotting time	385	93	$59.03	$4.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	200	200	$170.45	$123.91
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	121	66	$257.56	$85.45
99306 Initial nursing facility visit, typically 45 minutes per day	116	107	$451.21	$155.40
99336 Established patient assisted living visit, typically 40 minutes	82	35	$357.99	$127.30
99213 Established patient office or other outpatient visit, typically 15 minutes	74	62	$226.70	$86.34
G0008 Administration of influenza virus vaccine	63	62	$59.52	$27.99
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	61	60	$81.90	$68.91
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	37	33	$343.24	$121.22
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	32	32	$101.88	$5.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	27	$444.88	$172.08
69209 Removal of impacted ear wax by washing	27	27	$61.81	$14.30
99495 Transitional care management services for problem of at least moderate complexity	24	21	$640.08	$196.18
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$141.33	$50.14
99335 Established patient assisted living visit, typically 25 minutes	15	13	$261.20	$90.09
G0009 Administration of pneumococcal vaccine	14	14	$58.71	$28.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$236.45	$159.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93793 Anticoagulant management of patient taking warfarin	904	245	$53.67	$10.99
85610 Blood test, clotting time	717	122	$57.60	$4.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	516	244	$321.17	$123.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	213	213	$164.06	$126.24
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	137	67	$247.70	$86.67
99306 Initial nursing facility visit, typically 45 minutes per day	135	119	$431.02	$158.47
99213 Established patient office or other outpatient visit, typically 15 minutes	93	84	$216.84	$86.02
G0008 Administration of influenza virus vaccine	68	68	$57.38	$16.22
99336 Established patient assisted living visit, typically 40 minutes	64	25	$339.06	$129.13
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	61	61	$80.00	$66.43
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	48	45	$326.17	$123.32
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	27	25	$97.89	$6.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$430.08	$169.12
69209 Removal of impacted ear wax by washing	17	17	$63.29	$14.66
99495 Transitional care management services for problem of at least moderate complexity	17	17	$619.88	$197.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	16	$131.31	$50.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	469	237	$309.76	$103.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	228	228	$158.08	$110.08
93793 Anticoagulant management of patient taking warfarin	220	95	$51.53	$11.35
85610 Blood test, clotting time	181	54	$55.67	$4.26
99213 Established patient office or other outpatient visit, typically 15 minutes	143	110	$209.57	$71.01
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	128	63	$239.02	$88.66
G0008 Administration of influenza virus vaccine	76	74	$55.13	$16.22
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	70	62	$314.06	$125.73
99306 Initial nursing facility visit, typically 45 minutes per day	68	62	$417.18	$161.96
90662 Influenza vaccine split virus, preservative free	68	67	$74.56	$60.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	64	45	$165.31	$66.89
99336 Established patient assisted living visit, typically 40 minutes	63	24	$325.71	$131.22
99335 Established patient assisted living visit, typically 25 minutes	38	20	$238.79	$93.01
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	31	26	$94.03	$7.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$417.04	$140.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	20	$126.65	$51.17
G0009 Administration of pneumococcal vaccine	19	19	$55.16	$16.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$168.00	$118.42
69209 Removal of impacted ear wax by washing	13	13	$83.77	$16.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	506	236	$297.11	$103.11
93793 Anticoagulant management of patient taking warfarin	386	111	$49.42	$11.64
85610 Blood test, clotting time	382	98	$53.48	$4.28
99213 Established patient office or other outpatient visit, typically 15 minutes	258	171	$201.08	$70.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	223	223	$151.75	$110.98
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	134	74	$229.01	$87.67
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	108	95	$303.33	$124.69
99306 Initial nursing facility visit, typically 45 minutes per day	100	92	$399.36	$160.16
99335 Established patient assisted living visit, typically 25 minutes	74	29	$231.68	$91.35
G0008 Administration of influenza virus vaccine	68	67	$53.62	$15.92
90662 Influenza vaccine split virus, preservative free	60	59	$65.00	$54.67
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	59	35	$160.03	$65.99
99336 Established patient assisted living visit, typically 40 minutes	55	23	$313.27	$129.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	38	32	$122.58	$50.86
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	28	23	$90.00	$7.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	27	$397.43	$135.29
69209 Removal of impacted ear wax by washing	25	24	$75.60	$15.81
G0009 Administration of pneumococcal vaccine	22	22	$52.36	$15.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$220.84	$163.84
99495 Transitional care management services for problem of at least moderate complexity	18	16	$572.11	$157.19
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	17	14	$313.53	$129.99
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$168.00	$109.39
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$210.46	$158.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	561	255	$285.71	$102.36
85610 Blood test, clotting time	342	46	$51.25	$4.75
93793 Anticoagulant management of patient taking warfarin	277	46	$47.76	$11.59
99213 Established patient office or other outpatient visit, typically 15 minutes	273	186	$192.79	$69.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	249	249	$145.76	$111.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	154	82	$220.57	$87.95
99306 Initial nursing facility visit, typically 45 minutes per day	134	120	$385.70	$159.81
G0008 Administration of influenza virus vaccine	105	101	$51.26	$19.63
36415 Insertion of needle into vein for collection of blood sample	101	87	$30.00	$2.94
90662 Influenza vaccine split virus, preservative free	98	94	$65.00	$51.87
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	97	87	$290.23	$125.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	62	38	$153.06	$66.64
99336 Established patient assisted living visit, typically 40 minutes	58	25	$301.93	$130.19
99335 Established patient assisted living visit, typically 25 minutes	53	28	$222.72	$91.34
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	48	42	$117.56	$51.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	34	$381.55	$134.43
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	36	25	$73.00	$8.18
G0009 Administration of pneumococcal vaccine	32	32	$50.50	$19.63
90670 Pneumococcal vaccine for injection into muscle	20	20	$390.00	$194.90
69209 Removal of impacted ear wax by washing	20	20	$80.40	$16.81
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$159.00	$16.17
99495 Transitional care management services for problem of at least moderate complexity	16	13	$554.63	$156.99
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	15	$86.80	$7.94
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$201.14	$159.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$211.14	$164.67
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	12	12	$300.00	$130.99
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$168.00	$105.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	656	306	$29.25	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	558	275	$274.58	$102.47
85610 Blood test, clotting time	498	38	$49.47	$5.28
99213 Established patient office or other outpatient visit, typically 15 minutes	275	202	$185.78	$69.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	222	222	$139.68	$110.85
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	154	82	$211.97	$87.92
G0008 Administration of influenza virus vaccine	94	92	$49.80	$24.29
90662 Influenza vaccine split virus, preservative free	92	90	$63.91	$47.38
99306 Initial nursing facility visit, typically 45 minutes per day	89	84	$369.03	$160.48
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	85	80	$280.36	$125.30
99335 Established patient assisted living visit, typically 25 minutes	84	29	$213.43	$91.38
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	74	52	$70.93	$8.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	65	43	$147.75	$66.33
99336 Established patient assisted living visit, typically 40 minutes	64	30	$289.41	$129.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	61	47	$112.72	$51.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	41	$368.04	$136.49
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	47	47	$203.02	$163.87
93000 Routine ekg using at least 12 leads including interpretation and report	42	39	$154.43	$16.16
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	33	31	$70.36	$8.21
G0009 Administration of pneumococcal vaccine	29	29	$48.76	$24.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$163.76	$95.33
69209 Removal of impacted ear wax by washing	16	16	$68.31	$13.94
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	16	11	$50.13	$39.71
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	15	12	$288.47	$130.69
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$194.67	$159.16
90670 Pneumococcal vaccine for injection into muscle	12	12	$382.50	$186.90
81003 Automated urinalysis test	11	11	$29.09	$3.02

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WI 49183

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

328213900 (MN)

Hospital & Practice Group Affiliations

Prohealth Medical Group Inc

N16w24131 Riverwood Dr, Waukesha, WI 531881106

Phone: 2626960765

Prohealth Medical Group Inc

N17w24100 Riverwood Dr, Waukesha, WI 531881127

Phone: 2629284704

Prohealth Medical Group Inc

240 Maple Ave, Mukwonago, WI 531498475

Phone: 2629281900

Prohealth Medical Group Inc

N16w24131 Riverwood Dr, Waukesha, WI 531881106

Phone: 2626960808

Prohealth Medical Group Inc

1185 Corporate Ctr Dr, Oconomowoc, WI 530664889

Phone: 2629288400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Sarah Sanford-Smith , MSN FNP-C

Nurse Practitioner - Family

NPI 1073197000

MSNFNPC

Dr. Jaswinder Sidhu , MD

Internal Medicine

NPI 1073628509

Doctor of Medicine (M.D.)

Dr. Brett Linzer , MD

Internal Medicine

NPI 1083686653

Doctor of Medicine (M.D.)

Dr. Brenda Boschek , MD

Internal Medicine

NPI 1154393833

Doctor of Medicine (M.D.)

Michelle Schlomer , MSN, APNP

Nurse Practitioner - Adult Health

NPI 1376540864

Master of Science in Nursing, Advanced Practice Nurse Prescriber

Dr. Eric Conradson , MD

Internal Medicine

NPI 1518976232

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 16, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 16, 2012

Registered at 1185 CORPORATE CENTER DR STE 175, PROHEALTH CARE MEDICAL ASSOCIATES INC., OCONOMOWOC, WI 530664889 (Tel: 2629288400)

📍

Updated Business Mailing Address April 16, 2012

Registered at 1185 CORPORATE CENTER DR STE 175, PROHEALTH CARE MEDICAL ASSOCIATES INC., OCONOMOWOC, WI 530664889 (Tel: 2629288400)

👤

Provider Name / Credentials Updated April 16, 2012

Recorded as WILLIAM COOPER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2012

Internal Medicine (License #49183 in WI)

🟢

Initial NPI Registration & Enumeration March 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023078037

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 24, 2006

Last Update: April 16, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1185 Corporate Center Dr Ste 175, Prohealth Care Medical Associates Inc.

Oconomowoc, WI 530664889

Phone: 2629288400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.