# ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ascension Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265507537
- **Authorized official:** LORI PECK (VP-REVENUE CYCLE)
- **Authorized official phone:** (715) 847-2988

## Contact information

- **Practice address:** 1901 WESTWOOD CENTER BLVD, WAUSAU, WI 54401-2892
- **Practice address phone:** (715) 355-9775
- **Mailing address:** 1901 WESTWOOD CENTER BLVD, WAUSAU, WI 54401-2892
- **Mailing address phone:** (715) 355-9775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 10/19/2021