Individual
MRS. ASHLEY JO MCWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
Mailing address
1205 N WISCONSIN AVE, RICE LAKE, WI 54868-1014
(701) 320-8141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WI
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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