Ascension Medical Group-Fox Valley Wisconsin, INC
NPI #1043478324 in Little Chute, Wisconsin
Provider Information
- NPI Number
- 1043478324
- Entity Type
- Organization
- Organization Name
- Ascension Medical Group-Fox Valley Wisconsin, INC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- May 23, 2008
- Last Updated
- Mar 27, 2023
Practice Location
- Address
- 200 PATRIOT DR
- City
- Little Chute
- State
- Wisconsin
- ZIP Code
- 54140
- Phone
- (920) 687-2800
Authorized Official
- Name
- J. BRYAN FISSEL
- Title
- VP-FINANCE
- Phone
- (715) 369-2109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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