Organization
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC
Active
Other names
Midwest Orthopedic Specialty Hospital DME
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
Mailing address
PO BOX 1297, BEDFORD PARK, IL 60499-1297
(414) 567-3022
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/25/2022
Last updated
01/21/2025
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