Individual
MICHAEL J OSTROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2901 HUNTERS TRL, PORTAGE, WI 53901-3403
(608) 742-5518
(608) 742-4087
Mailing address
PO BOX 301, PORTAGE, WI 53901-0301
(608) 742-5518
(608) 742-4087
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1699-057
WI
103TC0700X
Clinical Psychologist
1699-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39287000
—
WI
Enumeration date
07/06/2006
Last updated
05/21/2015
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