# 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:** 1942554514
- **Authorized official:** LORI PECK (VP REVENUE CYCLE)
- **Authorized official phone:** (715) 847-2988

## Contact information

- **Practice address:** 444 E TIMBER DR, RHINELANDER, WI 54501
- **Practice address phone:** (715) 369-2300
- **Mailing address:** 444 E TIMBER DR, RHINELANDER, WI 54501-2852
- **Mailing address phone:** (715) 369-2300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | WI | — |

## Other

- **Enumeration date:** 11/05/2012
- **Last updated:** 10/19/2021