Individual
MRS. AMY ELLEN BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-1422
(715) 723-6520
(715) 723-1092
Mailing address
2525 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-1422
(715) 723-6520
(715) 723-1092
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38459500
—
WI
Enumeration date
04/18/2008
Last updated
04/18/2008
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