Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michaela Rose Otterstatter

Individual provider Pharmacist · NPI 1639797954

Michaela Rose Otterstatter is a Pharmacist in Ashland, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
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Practice location Address checks out

110 Lake Shore Dr W
Ashland, WI 54806-1645
Phone: (715) 685-0202
Fax: (715) 685-0208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 20376-40 (WI)

Record details

NPI number1639797954
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 13, 2020
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020
Mailing address110 Lake Shore Dr W, Ashland, WI 54806-1645

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