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Michael William Ashline, IDC

Military Health Care Provider, Independent Duty Corpsman in San Diego, CA. Individual provider (NPI-1).

NPI number1003199738
StatusActive
Last updated in NPPESSep 20, 2011

Details

NPI
1003199738
Entity type
Individual (NPI-1)
Name
Mr. Michael William Ashline
Credential
IDC
Sex
Male
Sole proprietor
No
Enumeration date
Sep 20, 2011
Last updated
Sep 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1002X Military Health Care Provider, Independent Duty Corpsman––Yes

Practice location

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000

Phone 619-532-6195

Mailing address

6209 Pelican View Ct
Suffolk, VA 23435-2921

Phone 240-210-2871

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