# ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
- **Other names:** Ascension Medical Group Employer Solutions
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003069428
- **Legal business name:** ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
- **Authorized official:** DONNA OWENS (VP-ASCENSION WI EMPLOYER SOLUTIONS)
- **Authorized official phone:** (414) 465-3600

## Contact information

- **Practice address:** 1186 APPLETON RD, MENASHA, WI 54952-1906
- **Practice address phone:** (920) 727-8700
- **Mailing address:** 400 W RIVER WOODS PKWY, GLENDALE, WI 53212-1060
- **Mailing address phone:** (414) 465-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2008
- **Last updated:** 05/18/2026