Matt Oetken, DO
Family Medicine in Appleton, WI. Individual provider (NPI-1).
NPI number1528097680
StatusActive
Last updated in NPPESJan 28, 2014
Details
- NPI
- 1528097680
- Entity type
- Individual (NPI-1)
- Name
- Matt Oetken
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2006
- Last updated
- Jan 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 42343-021 | WI | Yes |
Practice location
3916 N Intertech CtAppleton, WI 54913-6957
Phone 920-996-1000
Mailing address
3916 N Intertech CtAppleton, WI 54913-6957
Phone 920-996-1000
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