Organization
LIFECARE HOSPITAL OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIE LYNNE SCHULTZ RD, CD, CNSD (DIETITIAN)
(262) 524-2624
Entity
Organization
Contact information
Practice address
2400 GOLF RD, PEWAUKEE, WI 53072-5590
(262) 524-2624
Mailing address
2400 GOLF RD, PEWAUKEE, WI 53072-5590
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11023900
—
WI
Enumeration date
02/05/2008
Last updated
02/05/2008
Update your record
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