Individual provider · Type 1 NPI
Michelle R. Oetken, PA
Medical Physician Assistant · Waupaca, WI
NPI number
1154413060
Active
Practice location
710 Riverside Dr
Waupaca, WI 54981
Mailing address
PO Box 8003
Appleton, WI 54912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1184 (WI) |
Medical Physician Assistant: Definition to come...
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About NPI 1154413060
Michelle R. Oetken, PA's National Provider Identifier is 1154413060, issued on Sep 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waupaca, WI. The record was last updated on Jul 8, 2007.