Ascension Medical Group-Fox Valley Wisconsin, INC
NPI #1639282544 in New London, Wisconsin
Provider Information
- NPI Number
- 1639282544
- Entity Type
- Organization
- Organization Name
- Ascension Medical Group-Fox Valley Wisconsin, INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 16, 2006
- Last Updated
- Sep 7, 2018
Practice Location
- Address
- 1420 ALGOMA ST
- City
- New London
- State
- Wisconsin
- ZIP Code
- 54961
- Phone
- (920) 982-8300
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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