MEDICARE: WISCONSIN HEALTH FUND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5256042	WI

General Provider Information

NPI Number	:	1093875569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WISCONSIN HEALTH FUND

Provider Business Mailing Address
First Line	:	6118 W BLUEMOUND RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53213-4143
Country	:	US
Telephone Number	:	414-771-5606
Fax Number	:	414-774-2987

Provider Business Practice Location Address
First Line	:	6118 W BLUEMOUND RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53213-4143
Country	:	US
Telephone Number	:	414-771-5606
Fax Number	:	414-774-2987

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	TODD M MARKOWSKI
Credential	:	RPH
Telephone Number	:	414-771-5606

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	08/29/2013

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Directions to “WISCONSIN HEALTH FUND ” Practice Location

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