Organization · Type 2 NPI

Ascension Medical Group - Southeast Wisconsin, Inc.

Multi-Specialty Clinic/Center · South Milwaukee, WI

NPI number 1821757378 Active

Practice location

1001 15th Ave # DOOR56
South Milwaukee, WI 53172-1503

Call (414) 766-5878 Map

Mailing address

1186 Appleton Rd
Menasha, WI 54952-1906

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed
Occupational Medicine Clinic/Center	261QX0100X	None listed

Multi-Specialty Clinic/Center: Definition to come...

NPI record

NPI: 1821757378
Entity type: Organization (Type 2)
Issued: Dec 13, 2021
Last updated: Jan 10, 2025
Status: Active
Subpart: Yes of Ascension Medical Group - Southeast Wisconsin, Inc.

Other names

<unavail>
Ascension Wisconsin Employer Solutions · other name
Ascension Wisconsin Employer Solutions · other name

Authorized official

Donna Owens
VP-Ascension Wi Employer Solutions
(414) 465-3600

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821757378

Ascension Medical Group - Southeast Wisconsin, Inc.'s National Provider Identifier is 1821757378, issued on Dec 13, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in South Milwaukee, WI. The record was last updated on Jan 10, 2025.