Ascension Medical Group-Fox Valley Wisconsin, INC
NPI #1245335165 in Little Chute, Wisconsin
Provider Information
- NPI Number
- 1245335165
- Entity Type
- Organization
- Organization Name
- Ascension Medical Group-Fox Valley Wisconsin, INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 14, 2006
- Last Updated
- Sep 6, 2018
Practice Location
- Address
- 200 PATRIOT DR
- City
- Little Chute
- State
- Wisconsin
- ZIP Code
- 54140
- Phone
- (920) 687-2800
Authorized Official
- Name
- SUZANNE SANICOLA
- Title
- ADMINISTRATIVE VP
- Phone
- (414) 465-3968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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