# MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest Orthopedic Specialty Hospital PC Clinic, Midwest Orthopedic Specialty Hospital Orthopedic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275127375
- **Authorized official:** SHEILA GANSEMER (CEO)
- **Authorized official phone:** (414) 325-4589

## Contact information

- **Practice address:** 7095 S BALLPARK DR STE 100, FRANKLIN, WI 53132-6908
- **Practice address phone:** (414) 817-6620
- **Mailing address:** PO BOX 1153, BEDFORD PARK, IL 60499-1153
- **Mailing address phone:** (414) 817-6620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2021
- **Last updated:** 09/12/2024