Individual
KIM MARIE OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1615 MAPLE LN STE 1, ESSENTIA HEALTH ASHLAND CLINIC, ASHLAND, WI 54806-3610
(715) 685-7500
Mailing address
1615 MAPLE LN STE 1, ESSENTIA HEALTH ASHLAND CLINIC, ASHLAND, WI 54806-3610
(715) 685-7500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53458
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235324781
—
WI
Enumeration date
09/07/2007
Last updated
05/23/2016
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