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NPI Code Detail

MEDICARE: WISCONSIN HEALTH FUND

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
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1497768659
Entity Type Code : Organization
Provider Name (Legal Business Name) : WISCONSIN HEALTH FUND
Provider Business Mailing Address
First Line : 6200 W BLUEMOUND RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53213-4145
Country : US
Telephone Number : 414-771-5600
Fax Number : 414-476-9988
Provider Business Practice Location Address
First Line : 6200 W BLUEMOUND RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53213-4145
Country : US
Telephone Number : 414-771-5600
Fax Number : 414-476-9988
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. MICHAEL SCOTT LOVELY
Credential :
Telephone Number : 414-771-5600
Provider Enumeration Date : 08/15/2006
Last Update Date : 03/27/2013

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Directions to “WISCONSIN HEALTH FUND ” Practice Location

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