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Individual

JENNIFER OTTELIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
2901 W KINNICKINNIC RIVER PKWY STE 300, MILWAUKEE, WI 53215-3660
(414) 385-8700
(414) 385-8715
Mailing address
2901 W KINNICKINNIC RIVER PKWY STE 300, MILWAUKEE, WI 53215-3660

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3921-033
WI

Other

Enumeration date
12/01/2009
Last updated
12/01/2009
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