Individual
MICHAELA ANN ALTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12386 69TH LN NE, OTSEGO, MN 55330-5051
(320) 293-2384
Mailing address
12386 69TH LN NE, OTSEGO, MN 55330-5051
(320) 293-2384
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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