Organization · Type 2 NPI

Ascension Medical Group-Southeast Wisconsin Inc

Internal Medicine Physician · Glendale, WI

NPI number 1609881077 Active

Practice location

400 W River Woods Pkwy
Glendale, WI 53212

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician 207K00000XNone listed
Dermatology Physician 207N00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician Primary 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Pediatrics Physician 208000000XNone listed
Neurology Physician 2084N0400XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Vascular Surgery Physician 2086S0129XNone listed
Urology Physician 208800000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

6 other providers at this address

About NPI 1609881077

Ascension Medical Group-Southeast Wisconsin Inc's National Provider Identifier is 1609881077, issued on Jul 31, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Glendale, WI. The record was last updated on Jul 8, 2026.