MICHELLE R OETKEN

WAUPACA, WI
NPI1154413060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WI  1184)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
-- MICHELLE R OETKEN PA
710 RIVERSIDE DR
WAUPACA, WI 54981
Phone number: 715-256-3062
Mailing Address
-- MICHELLE R OETKEN PA
PO BOX 8003
APPLETON, WI 54912
Phone number: 920-996-3298