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Michelle R Oetken, PA
Medical Physician Assistant in Waupaca, Wisconsin
NPI 1154413060

Michelle R Oetken is a Medical Physician Assistant based in Appleton, WI and is specialized in Medical. Michelle R Oetken practices in Waupaca, WI and has the professional credentials of PA. The NPI Number for Michelle R Oetken is 1154413060 and holds a License No. 1184 (Wisconsin).

The current practice location address for Michelle R Oetken is 710 Riverside Dr, Waupaca, WI and can be reached out via phone at 715-256-3062.

Location: 710 Riverside Dr, Waupaca, WI, 54912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154413060
Provider Name
Michelle R Oetken
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
710 Riverside Dr, Waupaca, WI, 54912
Phone Number
715-256-3062
Fax Number
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
710 Riverside Dr
City
Waupaca
State
Wisconsin
Zip
54981
Phone Number
715-256-3062
Fax Number
person
Provider Business Mailing Address Details
Address
710 Riverside Dr
City
Waupaca
State
Wisconsin
Zip
54981
Phone Number
715-256-3062
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1184 (Wisconsin)
Definition
Definition to come...
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