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Allegra Ponshock, MD
Family Medicine Physician in Mauston, Wisconsin
NPI 1073001996

Allegra Ponshock is a Family Medicine Physician based in Mauston, WI. Allegra Ponshock practices in Mauston, WI and has the professional credentials of MD. The NPI Number for Allegra Ponshock is 1073001996 and holds a License No. 68011 (Wisconsin).

The current practice location address for Allegra Ponshock is 1040 Division St, Mauston, WI and can be reached out via phone at 608-847-5000.

Location: 1040 Division St, Mauston, WI, 53948-1998
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073001996
Provider Name
Allegra Ponshock
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1040 Division St, Mauston, WI, 53948-1998
Phone Number
608-847-5000
Fax Number
Provider Enumeration Date
04/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1040 Division St
City
Mauston
State
Wisconsin
Zip
53948-1998
Phone Number
608-847-5000
Fax Number
person
Provider Business Mailing Address Details
Address
1040 Division St
City
Mauston
State
Wisconsin
Zip
53948-1998
Phone Number
608-847-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
68011 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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