Individual
MS. ASHLEY M SHOQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 303-5630
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 303-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4006
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069107
—
WI
Enumeration date
11/25/2008
Last updated
11/07/2023
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