Individual
ASHLEY MCSORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10400 75TH ST STE 205, KENOSHA, WI 53142-7884
(262) 948-6790
Mailing address
10400 75TH ST STE 205, KENOSHA, WI 53142-7884
(262) 948-6790
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125062714
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
67633
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AFC820916664
BLUECROSS BLUESHIELD
IL
Enumeration date
05/17/2013
Last updated
07/21/2022
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