Individual
DR. ANNETTE YVONNE OETKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1102 N COUNTY ROAD 700, WARSAW, IL 62379-3011
(217) 256-4100
(217) 256-3800
Mailing address
1102 N COUNTY ROAD 700, WARSAW, IL 62379-3011
(217) 256-4100
(217) 256-3800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036147640
IL
207Q00000X
Family Medicine Physician
3003
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952461782
WELLMARK BLUE CROSS BLUE SHIELF
IA
05
—
1952461782
—
IA
01
—
54385
WELLMARK BCBS OF IOWA
IA
Enumeration date
12/11/2006
Last updated
11/27/2023
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