ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC

RACINE, WI
NPI1932719580
Other NameASCENSION WISCONSIN EMPLOYER SOLUTIONS
Entity TypeOrganization
Authorized ContactDONNA OWENS
VP Ascension Wi Employer Solutions
414-465-3600
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Additional Taxonomies261QX0100X Clinic/Center, Occupational Medicine
Enumeration Date2020-08-07
Last Update Date2025-01-31
Business Address
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
2333 NORTHWESTERN AVE STE 115
RACINE, WI 53404-2520
Phone number: 262-635-5600
Mailing Address
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
2700 W 9TH AVE STE 101A
OSHKOSH, WI 54904-7201
Phone number: 414-465-3600