Individual
ALEXA INGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
444 REID STREET, SUITE 300, #114, DE PERE, WI 54115
(920) 212-8642
Mailing address
7901 4TH ST N # 17715, ST PETERSBURG, FL 33702-4305
(920) 212-8642
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7833-23
WI
363A00000X
Physician Assistant
9116888
FL
Other
Enumeration date
11/21/2022
Last updated
07/11/2024
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