Individual
ASHLEIGH FORTSCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MERCY HOSPITAL ST. LOUIS, 615 S NEW BALLAS RD, ST. LOUIS, MO 63141
(314) 251-6816
Mailing address
270 E MAIN ST, BRUSSELS, IL 62013-4468
(618) 535-5467
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2020002751
MO
Other
Enumeration date
03/06/2020
Last updated
01/12/2023
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