| Ascension Medical Group - Southeast Wisconsin, Inc. | |
|
1001 15th Ave # Door56 South Milwaukee WI 53172-1503 | |
| (414) 766-5878 | |
| Not Available |
| Full Name | Ascension Medical Group - Southeast Wisconsin, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1001 15th Ave # Door56, South Milwaukee, Wisconsin |
| Authorized Official Name and Position | Donna Owens (VP-ASCENSION WI EMPLOYER SOLUTIONS) |
| Authorized Official Contact | 4144653600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Medical Group - Southeast Wisconsin, Inc. 1186 Appleton Rd Menasha WI 54952-1906 Ph: (715) 295-5280 | Ascension Medical Group - Southeast Wisconsin, Inc. 1001 15th Ave # Door56 South Milwaukee WI 53172-1503 Ph: (414) 766-5878 |
| NPI Number | 1821757378 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 01/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821757378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
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