Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ascension Medical Group-Southeast Wisconsin Inc

Organization Allergy & Immunology Physician · NPI 1609881077

Ascension Medical Group-Southeast Wisconsin Inc is an Allergy & Immunology Physician in Glendale, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
15
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 W River Woods Pkwy
Glendale, WI 53212
Phone: (414) 465-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Neurology Physician Taxonomy 2084N0400X
Radiation Oncology Physician Taxonomy 2085R0001X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Vascular Surgery Physician Taxonomy 2086S0129X
Urology Physician Taxonomy 208800000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1609881077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Jirovec — Finance Director · (715) 347-6655
Other names Ascension Medical Group
NPI enumeratedJuly 31, 2006
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address400 W River Woods Pkwy, Glendale, WI 53212-1060

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