# ASCENSION NE WISCONSIN, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASCENSION NE WISCONSIN, INC
- **Other names:** Ascension NE Wisconsin-St Elizabeth Surgery Center, Ascension NE Wisconsin Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124075536
- **Legal business name:** ASCENSION NE WISCONSIN, INC
- **Authorized official:** SUSAN DWYER (CFO)
- **Authorized official phone:** (414) 465-3093

## Contact information

- **Practice address:** 1550 MIDWAY PL, MENASHA, WI 54952
- **Practice address phone:** (920) 720-1464
- **Practice address fax:** (920) 720-1728
- **Mailing address:** 1550 MIDWAY PL, MENASHA, WI 54952-1165
- **Mailing address phone:** (920) 720-1464
- **Mailing address fax:** (920) 720-1728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 282N00000X | General Acute Care Hospital | 88 | WI | — |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 07/03/2026