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1083644058
TERRANCE L OTZELBERGER
MILWAUKEE, WI
NPI
1083644058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 93-023)
Enumeration Date
2006-07-04
Last Update Date
2009-01-30
Business Address
-- TERRANCE L OTZELBERGER PA-C
111 E WISCONSIN AVE
MILWAUKEE, WI 53202-4815
Phone number: 414-290-6720
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Mailing Address
-- TERRANCE L OTZELBERGER PA-C
111 E WISCONSIN AVE
MILWAUKEE, WI 53202-4815
Phone number: 414-290-6720
Copy
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