Organization
WHEATON FRANCISCAN HEALTHCARE MARIAN FRANCISCAN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN WIEDOWER MPT (REHAB MANAGER)
(414) 535-6750
Entity
Organization
Contact information
Practice address
9632 W APPLETON AVE, MILWAUKEE, WI 53225-3305
(414) 535-6750
Mailing address
9632 W APPLETON AVE, MILWAUKEE, WI 53225-3305
(414) 535-6750
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40342700
—
WI
Enumeration date
12/12/2008
Last updated
12/12/2008
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