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Individual

AMANDA LYNN OEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
N16W24131 RIVERWOOD DR, WAUKESHA, WI 53188-1106
(262) 696-0909
Mailing address
1902 E BROADWAY APT 420, WAUKESHA, WI 53186-8183
(920) 492-9201

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5504
WI
363A00000X
Physician Assistant
PA.0009263
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/16/2020
Last updated
06/30/2025
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