ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC NPI 1477658110

NPI Information

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC is a durable medical equipment medical supplies in Appleton, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC NPI is 1477658110. The provider is registered as an organization entity type.
The provider Is Doing Business As Ascension Medical Group.

The provider's business location address is:

3329 N RICHMOND ST
APPLETON, WI
ZIP 54911
Phone: (920) 730-8414

The provider's authorized official is Suzanne Sanicola .
The authorized official title is Administrative Vp and has the following contact phone number (414) 465-3968.

The CLIA number assigned to this NPI record is 52D0397506 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 8/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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