| Ascension Medical Group | |
|
1420 Algoma St New London WI 54961 | |
| (920) 982-8300 | |
| Not Available |
| Full Name | Ascension Medical Group |
|---|---|
| Speciality | Clinic/center |
| Location | 1420 Algoma St, New London, Wisconsin |
| Authorized Official Name and Position | J. Bryan Fissel (VP-FINANCE) |
| Authorized Official Contact | 4144653000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Medical Group 1420 Algoma St New London WI 54961-2104 Ph: (920) 738-2000 | Ascension Medical Group 1420 Algoma St New London WI 54961 Ph: (920) 982-8300 |
| NPI Number | 1093982530 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093982530 | NPI | - | NPPES |
| 32752000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Brian L Van Hoozen, D.o. S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Mill St, New London, WI 54961 Phone: 920-982-7900 Fax: 920-982-7995 | |
Integrity Medical Group, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 N. Shawano St, Ste A, New London, WI 54961 Phone: 920-531-1100 Fax: 920-531-8310 | |
Thedacare Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-830-5900 Fax: 920-830-5910 | |
Brian Van Hoozen Do Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1505 Mill St, New London, WI 54961 Phone: 920-982-7900 Fax: 920-982-7995 |