NPI 1215104468

Ascension Medical Group-Fox Valley Wisconsin, INC

Organisation Multi-Specialty Clinic/Center Menasha, WI

Practice location

Address: 1550 Midway Pl, Menasha, WI 54952
Phone: (920) 738-2000
Mailing address: 1550 Midway Pl, Menasha, WI 54952-1165

Authorised official

Name: David Jirovec
Title: Sr Finance Director - Medical Group
Phone: (715) 347-6655

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

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Registry record

NPI: 1215104468
Entity type: Organization
NPI issued: 15 May 2008
Record last updated: 18 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.