Michaela Rose Otterstatter

NPI #1639797954 in Ashland, Wisconsin

Provider Information

NPI Number: 1639797954
Entity Type: Individual
Name: Michaela Rose Otterstatter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 13, 2020
Last Updated: Jul 13, 2020

Practice Location

Address: 110 LAKE SHORE DR W
City: Ashland
State: Wisconsin
ZIP Code: 54806-1645
Phone: (715) 685-0202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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