Individual
OLIVIA ERTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 THEDA CLARK MEDICAL PLZ STE 400, NEENAH, WI 54956-2763
(920) 725-4527
Mailing address
1850 SPRINGBROOK RD, OMRO, WI 54963-1812
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15069
WI
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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