Individual
ASHLEY A MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12203 CORPORATE PKWY, MEQUON, WI 53092
(262) 387-8200
(262) 387-8239
Mailing address
12203 CORPORATE PKWY, MEQUON, WI 53092-3388
(262) 387-8200
(262) 387-8239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8478
WI
363L00000X
Nurse Practitioner
Primary
8478-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079172
—
WI
Enumeration date
06/27/2018
Last updated
08/21/2019
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