ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC

GLENDALE, WI
NPI1609881077
Doing Business AsASCENSION MEDICAL GROUP
Entity TypeOrganization
Authorized ContactJ. BRYAN FISSEL
VP Finance
414-465-3000
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207K00000X Allergy & Immunology
207N00000X Dermatology
207Q00000X Family Medicine
207V00000X Obstetrics & Gynecology
207X00000X Orthopaedic Surgery
207Y00000X Otolaryngology
208000000X Pediatrics
2084N0400X Psychiatry & Neurology, Neurology
2085R0001X Radiology, Radiation Oncology
2085R0202X Radiology, Diagnostic Radiology
2086S0129X Surgery, Vascular Surgery
208800000X Urology
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2006-07-31
Last Update Date2023-03-28
Business Address
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
400 W RIVER WOODS PKWY
GLENDALE, WI 53212
Phone number: 414-465-3000
Mailing Address
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
400 W RIVER WOODS PKWY
GLENDALE, WI 53212-1060
Phone number: