Individual
MRS. CHERYL MARIE ROERS OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1405 MILWAUKEE DR, NEW HOLSTEIN, WI 53061-1430
(920) 898-5531
(920) 898-1581
Mailing address
521 RIVER TER, KIEL, WI 53042-1371
(920) 918-5769
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2515
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38587700
—
WI
Enumeration date
01/03/2006
Last updated
06/07/2013
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