Individual
MELISSA OSTERTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
S459 NORDEN RD, ELEVA, WI 54738-7805
(715) 287-3453
Mailing address
S459 NORDEN RD, ELEVA, WI 54738-7805
(715) 287-3453
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4211-16
WI
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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