Individual
KATIE ORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16650 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5959
(262) 827-9200
Mailing address
324 S 2ND ST APT 518, MILWAUKEE, WI 53204-1618
(630) 857-8914
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5171-23
WI
Other
Enumeration date
02/12/2020
Last updated
03/27/2022
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