Individual
ROSS ANTHONY FICARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4700
(920) 496-4705
Mailing address
PO BOX 19070, PREVEA HEALTH, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 496-4705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1068
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42984800
—
WI
Enumeration date
07/13/2006
Last updated
07/08/2007
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