Individual
SHAILLY RISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
151751 SMOKETREE LN, WAUSAU, WI 54401-5756
(715) 212-4202
Mailing address
151751 SMOKETREE LN, WAUSAU, WI 54401-5756
(715) 212-4202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/07/2026
Last updated
03/07/2026
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