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Individual

DR. MARY F OSTERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
705 S UNIVERSITY AVE, SUITE 300, BEAVER DAM, WI 53916-3053
(920) 885-6090
(920) 885-6092
Mailing address
705 S UNIVERSITY AVE, SUITE 300, BEAVER DAM, WI 53916-3053
(920) 885-6090
(920) 885-6092

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36516
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32118600
WI
Enumeration date
09/14/2005
Last updated
01/02/2014
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