Individual
MICHELLE L RONSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2610 N WOODLAWN ST, WICHITA, KS 67220-2729
(316) 684-3838
(316) 858-2521
Mailing address
2600 N WOODLAWN ST, WICHITA, KS 67220-2729
(316) 684-3838
(316) 858-2521
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01010
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200309200B
—
KS
Enumeration date
01/20/2006
Last updated
04/25/2008
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