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1528097680
MATT OETKEN
APPLETON, WI
NPI
1528097680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 42343-021)
Enumeration Date
2006-07-01
Last Update Date
2014-01-28
Business Address
MATT OETKEN DO
3916 N INTERTECH CT
APPLETON, WI 54913-6957
Phone number: 920-996-1000
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Mailing Address
MATT OETKEN DO
3916 N INTERTECH CT
APPLETON, WI 54913-6957
Phone number: 920-996-1000
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