National Provider Identifier Database

ASCENSION MEDICAL GROUP FOX VALLEY WISCONSIN INC
Multi-Specialty


Contact Information

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
2725 JACKSON ST
OSHKOSH, WI54901
Phone: 920-738-2000
Fax:
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC

NPI Number 1346408630
Legal business name
LBN
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Authorized official DAVID JIROVEC - (SR FINANCE DIRECTOR - MEDICAL GROUP)
Entity Organization
Organization subpart No
Enumeration date 05/23/2008
Last updated 05/19/2026 - About 3 weeks ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 32752000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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