Organization
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC
Active
Other names
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL PT
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA GANSEMER (CEO)
(414) 325-4589
Entity
Organization
Contact information
Practice address
1516 W MEQUON RD, MEQUON, WI 53092-3264
(262) 299-6092
(262) 299-6031
Mailing address
PO BOX 1297, BEDFORD PARK, IL 60499-1297
(262) 299-6092
(262) 299-6031
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
01/21/2025
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