Healthcare Provider Details

I. General information

NPI: 1134782964
Provider Name (Legal Business Name): CHARTWELL MIDWEST WISCONSIN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 DEMING WAY STE 102
MIDDLETON WI
53562-3688
US

IV. Provider business mailing address

1345 DEMING WAY STE 102
MIDDLETON WI
53562-3688
US

V. Phone/Fax

Practice location:
  • Phone: 68-831-8555
  • Fax:
Mailing address:
  • Phone: 608-831-8555
  • Fax: 608-831-9747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: SUSAN MEIER
Title or Position: INTERIM PRESIDENT
Credential:
Phone: 608-831-8555