Ascension Medical Group-fox Valley Wisconsin, Inc
May also be knows as Ascension Medical Group
Clinic/Center in New London, WI(View on Map)
Legal Business Name
Ascension Medical Group-fox Valley Wisconsin, Inc
Also Known As
Ascension Medical Group
NPI Number
1093982530
NPI Type
Organization
Enumeration Date
05/14/2008
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
1420 ALGOMA ST
1420 ALGOMA ST
City
New London
New London
State
WI
WI
Postal Code
54961-2104
54961
Country
US
US
Telephone Number
(920) 738-2000
(920) 982-8300
Authorized Official
Name
J. Bryan Fissel
Title or Position
VP-FINANCE
Telephone Number
(414) 465-3000
Identifiers
Identifier
32752000
Identifier State
WI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/27/2023
Provider Address
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