Individual
MICHELLE M RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
855 N WESTHAVE DR, OSHKOSH, WI 54904
(920) 303-8700
Mailing address
855 N WESTHAVE DR, OSHKOSH, WI 54904
(920) 303-8700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1986
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17009889212
—
WI
Enumeration date
09/01/2006
Last updated
12/03/2021
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