Individual
ASHLEY MICKSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1900 WOODLAND DR, MANITOWOC, WI 54220-9662
(920) 320-6212
(920) 320-5128
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 272-1120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6487
WI
Other
Enumeration date
07/20/2015
Last updated
09/13/2016
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