Waukesha Health System INC

NPI #1679954242 in Mukwonago, Wisconsin

Provider Information

NPI Number: 1679954242
Entity Type: Organization
Organization Name: Waukesha Health System INC
Subpart: Yes (part of a larger organization)
Parent Organization: WAUKESHA HEALTH SYSTEM INC
Primary Specialty: Non-Pharmacy Dispensing Site
Enumeration Date: Jun 9, 2015
Last Updated: Dec 14, 2022

Practice Location

Address: 240 MAPLE AVE STE 1420
City: Mukwonago
State: Wisconsin
ZIP Code: 53149-8475
Phone: (262) 363-1900

Authorized Official

Name: MR. THOMAS JOHNSON
Title: REIMBURSEMENT MANAGER
Phone: (262) 928-4704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X	Primary

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