Michaela Rose Otterstatter

Pharmacist · Ashland, WI

Individual Active NPI

NPI number 1639797954

Practice location

110 Lake Shore Dr W
Ashland, WI 54806-1645
Phone
(715) 685-0202
Fax
(715) 685-0208

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NPI record

NPI
1639797954
Entity type
Individual (Type 1)
Enumeration date
July 13, 2020
Last updated
July 13, 2020
Certified
July 13, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 20376-40 WI

About Michaela Otterstatter

Michaela Rose Otterstatter is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 110 Lake Shore Dr W, Ashland, WI 54806-1645. The NPI number 1639797954 was assigned on July 13, 2020 and the record was last updated on July 13, 2020.

Michaela Otterstatter lists a license in the registry: #20376-40 (WI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michaela Rose Otterstatter?

The NPI number is 1639797954.

What is the phone number of Michaela Otterstatter?

The phone number listed for the practice location is (715) 685-0202.

Where is Michaela Otterstatter located?

110 Lake Shore Dr W, Ashland, WI 54806-1645.

What is the taxonomy code for Michaela Otterstatter?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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