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Organization
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Active
Organization
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Active
Other names
Ascension Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JIROVEC (SR FINANCE DIRECTOR - MEDICAL GROUP)
(715) 347-6655
Entity
Organization
Contact information
Practice address
1420 ALGOMA ST, NEW LONDON, WI 54961
(920) 982-8300
Mailing address
1420 ALGOMA ST, NEW LONDON, WI 54961-2104
(920) 738-2000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32752000
—
WI
Enumeration date
05/14/2008
Last updated
05/19/2026
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