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Organization

KETTLE MORAINE PODIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLYSON ELIZABETH OTTEN DPM (OWNER)
(262) 483-9424
Entity
Organization

Contact information

Practice address
W63N127 WASHINGTON AVE, CEDARBURG, WI 53012-2724
(262) 483-9424
Mailing address
W63N127 WASHINGTON AVE, CEDARBURG, WI 53012-2724
(262) 483-9424

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
03/02/2026
Last updated
04/28/2026
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