NPI 1124512199

Marissa Ann Oberstadt, DPM

Practitioner Foot & Ankle Surgery Podiatrist Brookfield, WI

Practice location

Address: 200 S Executive Dr STE 101, Brookfield, WI 53005-4216
Phone: (888) 964-6681
Fax: (888) 662-0859
Mailing address: 209 Oak Knoll CT, Hortonville, WI 54944-9386

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 1186-25 (WI)

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Registry record

NPI: 1124512199
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2018
Record last updated: 12 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.