Individual
RICHARD OTTMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2960 CAHILL MAIN, FITCHBURG, WI 53711
(608) 273-4490
Mailing address
W5440 SANDROCK RD, NEW GLARUS, WI 53574-9498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16154-040
WI
183500000X
Pharmacist
2007026076
MO
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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