Individual
ASHISH M RAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 877-3419
(608) 231-3430
Mailing address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 877-3419
(608) 231-3430
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
62023-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110642
—
IL
Enumeration date
05/15/2006
Last updated
11/20/2020
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