Individual provider · Type 1 NPI
Marissa Ann Oberstadt, DPM
Foot & Ankle Surgery Podiatrist · Brookfield, WI
NPI number
1124512199
Active
Practice location
200 S Executive Dr Ste 101
Brookfield, WI 53005-4216
Fax (888) 662-0859
Mailing address
209 Oak Knoll Ct
Hortonville, WI 54944-9386
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 1186-25 (WI) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1124512199
Marissa Ann Oberstadt, DPM's National Provider Identifier is 1124512199, issued on Jun 21, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Brookfield, WI. The record was last updated on Jan 12, 2023.