Provider Demographics
NPI:1912357526
Name:O'SHELL, ASHLEE MARIE (MD)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:MARIE
Last Name:O'SHELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:MARIE
Other - Last Name:PASCOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:16001 W. NINE MILE ROAD
Mailing Address - Street 2:4TH FLOOR FISHER CENTER - DEPARTMENT OF MEDICAL EDUCATI
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075
Mailing Address - Country:US
Mailing Address - Phone:248-849-5664
Mailing Address - Fax:
Practice Address - Street 1:PROVIDENCE-PROVIDENCE PARK HOSPITALS - SOUTHFIELD
Practice Address - Street 2:16001 W. NINE MILE ROAD
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48074
Practice Address - Country:US
Practice Address - Phone:248-849-5664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301110400390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program