Individual
AMANDA CARRIE GLEASON FORTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(970) 248-2263
Mailing address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(719) 569-9580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
07/28/2026
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