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Individual

MRS. MICHELLE K OJIBWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703-5270
(715) 838-3311
Mailing address
2107 HEIGHTS DR, EAU CLAIRE, WI 54701-6130
(715) 834-8721
(715) 834-3087

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
134885-030
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
44395600
WI
Enumeration date
07/30/2008
Last updated
10/21/2008
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