Individual
KATHERINE J PONSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 340-4330
Mailing address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3553 - 23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124400627
—
WI
Enumeration date
06/22/2015
Last updated
11/18/2020
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