Individual ProviderSophie Elizabeth WennemannStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address945 N 12th St, Milwaukee, WI 53233-1305(414) 219-5725PECOS EnrollmentBased on the most recent information from CMS, provider Sophie Elizabeth Wennemann does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1053114629Provider TypeIndividualFull NameWennemann, Sophie ElizabethCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/31/2025Last Updated4/19/2025Contact InformationPractice LocationPractice Address945 N 12th St, Milwaukee, WI 53233-1305Phone(414) 219-5725FaxUnlisted FaxMailing LocationMailing Address945 N 12th St, Milwaukee, WI 53233-1305Phone(414) 219-5725FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer