Organization
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
Active
Parent organization
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
Other names
Ascension Wisconsin Employer Solutions
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
Authorized official
DONNA OWENS (VP ASCENSION WI EMPLOYER SOLUTIONS)
(414) 465-3600
Entity
Organization
Contact information
Practice address
2333 NORTHWESTERN AVE STE 115, RACINE, WI 53404-2520
(262) 635-5600
Mailing address
2700 W 9TH AVE STE 101A, OSHKOSH, WI 54904-7201
(414) 465-3600
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
08/07/2020
Last updated
01/31/2025
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