MEDICARE: DAVID K ASHPOLE MD

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	207RC0000X	Cardiovascular Disease Physician	28315	WI
2	207RI0011X	Interventional Cardiology Physician	28315	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962463307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID K ASHPOLE MD

Provider Business Mailing Address
First Line	:	7400 W RAWSON AVE STE 143
Second Line	:
City	:	FRANKLIN
State	:	WI
Zip	:	53132-8281
Country	:	US
Telephone Number	:	414-425-7380
Fax Number	:

Provider Business Practice Location Address
First Line	:	7400 W RAWSON AVE STE 143
Second Line	:
City	:	FRANKLIN
State	:	WI
Zip	:	53132-8281
Country	:	US
Telephone Number	:	414-425-7380
Fax Number	:

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

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	02/26/2021

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