Organization
SACRED HEART REHABILITATION INSTITUTE, INC
Active
Other names
Ascension Sacred Heart Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCCULLOUGH (CFO)
(414) 465-3736
Entity
Organization
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-6884
(414) 298-6737
Mailing address
PO BOX 860496, MINNEAPOLIS, MN 55486-0496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11020000
—
WI
Enumeration date
05/31/2006
Last updated
12/30/2024
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