Provider Demographics
NPI:1215998596
Name:MCASKILL, ALICE CHERILYN (MD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:CHERILYN
Last Name:MCASKILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:ALICE
Other - Middle Name:CHERILYN
Other - Last Name:REVIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1217 S RIVER DR
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-4053
Mailing Address - Country:US
Mailing Address - Phone:218-233-8720
Mailing Address - Fax:
Practice Address - Street 1:1217 S RIVER DR
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-4053
Practice Address - Country:US
Practice Address - Phone:218-233-8720
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN28887174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist