Dr JEFFREY M BASTASIC is a male medical professional, specializing in Family Medicine. He graduated in 2007 from Medical College Of Wisconsin.
ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
2700 W 9TH AVE
OSHKOSH
WI
549047247
Tel: 9202232000
| Npi | 1164547600 |
| Pac Id | 0840485025 |
| Professional Enrollment Id | I20101112001099 |
| Last Name | BASTASIC |
| First Name | JEFFREY |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Group Practice Pac Id | 0244142420 |
| Number Of Group Practice Members | 257 |
| Line 1 Street Address | 2700 W 9TH AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | OSHKOSH |
| State | WI |
| Zip Code | 549047247 |
| Phone Number | 9202232000 |
| Hospital Affiliation Ccn 1 | 520009 |
| Hospital Affiliation Lbn 1 | ST ELIZABETH HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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