Individual
MITCHELL OSTERHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-1255
Mailing address
209 W TAFT ST, STOUGHTON, WI 53589-1672
(608) 698-7015
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1087903-30
WI
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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