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
11415 W BURLEIGH ST STE 109, WAUWATOSA, WI 53222-3217
(414) 239-9547
(414) 240-3592
Mailing address
PO BOX 1297, BEDFORD PARK, IL 60499-1297
(414) 239-9547
(414) 240-3592
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
01/21/2025
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