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Organization

MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC

Active
Other names
Midwest Orthopedic Specialty Hospital Orthopedic Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
SHEILA GANSEMER (CEO)
(414) 325-4589
Entity
Organization

Contact information

Practice address
17000L W BLUEMOUND RD, BROOKFIELD, WI 53005-5951
(262) 207-4680
(262) 204-3357
Mailing address
PO BOX 1153, BEDFORD PARK, IL 60499-1153
(262) 207-4680
(262) 204-3357

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
05/27/2022
Last updated
01/21/2025
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