Individual
MIKEAL ROBERT OSTRANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15569 RAILROAD ST STE 301, HAYWARD, WI 54843-5707
(715) 236-7906
Mailing address
N901 COUNTY HIGHWAY MD, SARONA, WI 54870-9259
(715) 651-1944
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3296-35
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3296-35
WISCONSIN OPTOMETRY EXAMINING BOARD
WI
Enumeration date
05/30/2013
Last updated
04/14/2022
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