Ascension Medical Group-Southeast Wisconsin INC

NPI #1194473066 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1194473066
Entity Type: Organization
Organization Name: Ascension Medical Group-Southeast Wisconsin INC
Primary Specialty: Anesthesiology
Enumeration Date: Mar 10, 2022
Last Updated: Mar 21, 2023

Practice Location

Address: 2301 N LAKE DR
City: Milwaukee
State: Wisconsin
ZIP Code: 53211-4508
Phone: (414) 585-1000

Authorized Official

Name: BRYAN FISSEL
Title: VP-FINANCE
Phone: (414) 465-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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