Midwest Wisconsin Corporate Guardianship, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MIDWEST WISCONSIN CORPORATE GUARDIANSHIP, INC.

Practice address

W5461 S County Road a
Wild Rose, WI 54984-9289

Phone

(920) 622-3545

Fax

(920) 622-3545

NPI assigned

Nov 5, 2014

Last updated

Nov 5, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Penelope Jean Wiedenbeck

Title

Director/Program Manager

Phone

(920) 622-3545

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1184020042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5461 S COUNTY ROAD A",
            "city": "WILD ROSE",
            "state": "WI",
            "postal_code": "549849289",
            "telephone_number": "920-622-3545",
            "fax_number": "920-622-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5461 S COUNTY ROAD A",
            "city": "WILD ROSE",
            "state": "WI",
            "postal_code": "549849289",
            "telephone_number": "920-622-3545",
            "fax_number": "920-622-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST WISCONSIN CORPORATE GUARDIANSHIP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "WIEDENBECK",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR/PROGRAM MANAGER",
        "authorized_official_telephone_number": "920-622-3545",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Norene Lein, NP
• Joseph M Leon, DO
• Victoria Robyn Lois, PA-C
• Kylie Marie Luer, OTR/L
• Curtis William Manning, PTA
• Sabahat Mohsin, MD
• Lynn Marie Bielmeier Momsen, DDS
• Jennifer Kay Mueller, OTR
• Osl WR Operating LLC
• Lori J Paczkowski, COTA

• Case Management Agency in Wild Rose, WI
• Providers in Wild Rose, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.