Organization
WISCONSIN HEALTH FUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SCOTT LOVELY (EXECUTIVE DIRECTOR)
(414) 771-5600
Entity
Organization
Contact information
Practice address
6200 W BLUEMOUND RD, MILWAUKEE, WI 53213-4145
(414) 771-5600
(414) 476-9988
Mailing address
6200 W BLUEMOUND RD, MILWAUKEE, WI 53213-4145
(414) 771-5600
(414) 476-9988
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
03/27/2013
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