Organization
ASCENSION NE WISCONSIN, INC
Active
Parent organization
ASCENSION NE WISCONSIN, INC
Other names
Ascension NE Wisconsin Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION NE WISCONSIN, INC
Authorized official
MICHAEL MCCULLOUGH (CFO)
(414) 465-3736
Entity
Organization
Contact information
Practice address
1550 MIDWAY PL, MENASHA, WI 54952
(920) 720-1464
(920) 720-1728
Mailing address
1550 MIDWAY PL, MENASHA, WI 54952-1165
(920) 720-1464
(920) 720-1728
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
282N00000X
General Acute Care Hospital
Primary
88
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41908300
—
WI
Enumeration date
05/30/2006
Last updated
12/30/2024
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