Organization
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
Active
Other names
Ascension Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
J. BRYAN FISSEL (VP-FINANCE)
(414) 465-3000
Entity
Organization
Contact information
Practice address
400 W RIVER WOODS PKWY, GLENDALE, WI 53212
(414) 465-3000
Mailing address
400 W RIVER WOODS PKWY, GLENDALE, WI 53212-1060
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/31/2006
Last updated
03/28/2023
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