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

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

Practice location Address checks out

110 Lake Shore Dr W
Ashland, WI 54806-1645
Phone: (715) 685-0202
Fax: (715) 685-0208
Show map & directions

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

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