Organization
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC
Active
Other names
Midwest Orthopedic Specialty Hospital PT Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA GANSEMER (CEO)
(414) 325-4589
Entity
Organization
Contact information
Practice address
3033 W LAYTON AVE STE 202, MILWAUKEE, WI 53221-2621
(414) 567-3022
(414) 567-2684
Mailing address
PO BOX 1153, BEDFORD PARK, IL 60499-1153
(414) 567-3022
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/21/2025
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