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Ascension Medical Group-fox Valley Wisconsin, Inc
Multi-Specialty Clinic/Center in Chilton, Wisconsin
NPI 1700039880

Ascension Medical Group-fox Valley Wisconsin, Inc is a Multi-Specialty Clinic/Center based in Chilton, WI and is specialized in Multi-Specialty. Ascension Medical Group-fox Valley Wisconsin, Inc practices in Chilton, WI. The NPI Number for Ascension Medical Group-fox Valley Wisconsin, Inc is 1700039880 and holds a License No. (Wisconsin).

The current practice location address for Ascension Medical Group-fox Valley Wisconsin, Inc is 614 Memorial Dr, Chilton, WI and can be reached out via phone at 920-849-3800.

Location: 614 Memorial Dr, Chilton, WI, 53014-1568
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700039880
Provider Name
Ascension Medical Group-fox Valley Wisconsin, Inc
Credential
Provider Entity Type
Organization
Address
614 Memorial Dr, Chilton, WI, 53014-1568
Phone Number
920-849-3800
Fax Number
Provider Enumeration Date
11/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32752000 05 WI
institution
Provider Business Practice Location Address Details
Address
614 Memorial Dr
City
Chilton
State
Wisconsin
Zip
53014
Phone Number
920-849-3800
Fax Number
person
Provider Business Mailing Address Details
Address
614 Memorial Dr
City
Chilton
State
Wisconsin
Zip
53014
Phone Number
920-849-3800
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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