Ascension Medical Group-Fox Valley Wisconsin, INC
NPI #1093982530 in New London, Wisconsin
Provider Information
- NPI Number
- 1093982530
- Entity Type
- Organization
- Organization Name
- Ascension Medical Group-Fox Valley Wisconsin, INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 14, 2008
- Last Updated
- Mar 27, 2023
Practice Location
- Address
- 1420 ALGOMA ST
- City
- New London
- State
- Wisconsin
- ZIP Code
- 54961
- Phone
- (920) 982-8300
Authorized Official
- Name
- J. BRYAN FISSEL
- Title
- VP-FINANCE
- Phone
- (414) 465-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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