Organization
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Active
Other names
Ascension Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JIROVEC (SR FINANCE DIRECTOR - MEDICAL GROUP)
(715) 347-6655
Entity
Organization
Contact information
Practice address
101 MAIN ST, NEENAH, WI 54956-2570
(920) 727-4200
Mailing address
101 MAIN ST, NEENAH, WI 54956-2570
(920) 727-4200
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32752000
—
WI
05
—
42244300
—
WI
Enumeration date
06/01/2006
Last updated
05/18/2026
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