Ascension Medical Group-Fox Valley Wisconsin, INC

NPI #1417053281 in Chilton, Wisconsin

Provider Information

NPI Number
1417053281
Entity Type
Organization
Organization Name
Ascension Medical Group-Fox Valley Wisconsin, INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 16, 2006
Last Updated
Sep 6, 2018

Practice Location

Address
618 MEMORIAL DR
ZIP Code
53014
Phone
(920) 849-3800

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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