MEDICARE: ALLISON RONK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1780517490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON RONK

Provider Business Mailing Address
First Line	:	55 RIVER BEND RD APT 505
Second Line	:
City	:	LA CROSSE
State	:	WI
Zip	:	54603-7708
Country	:	US
Telephone Number	:	920-418-0821
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 SOUTH AVE
Second Line	:
City	:	LA CROSSE
State	:	WI
Zip	:	54601-5467
Country	:	US
Telephone Number	:	608-782-7300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “ ALLISON RONK ” Practice Location

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