Natalie Ann Oberdorfer, PHARMD
Individual provider Active NPI Pharmacist · Marinette, WI
NPI 1780928846 · NPPES record last updated Nov 15, 2012
Key facts
- NPI
- 1780928846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14500-40 (WI)
- Practice address
- 4061 Old Peshtigo Rd
Marinette, WI 54143-3887 - Phone
- (715) 732-8040
- Fax
- (715) 732-8038
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14500-40 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14500-40 | WI | Yes |
Addresses
Primary practice location
4061 Old Peshtigo Rd
Marinette, WI 54143-3887
Mailing address
4061 Old Peshtigo Rd
PO Box 18
Marinette, WI 54143-3887
Phone (715) 732-8040
Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.