MIKEAL OSTRANDER

SHOPKO STORES OPERATING CO LLC

Dr MIKEAL OSTRANDER is a male medical professional, specializing in Optometry. He graduated in 2013 from Illinois College Of Optometry At Chicago.

Contact

SHOPKO STORES OPERATING CO LLC

7401 MINERAL POINT RD
MADISON
WI
537171703

Tel: 6088336622

MIKEAL OSTRANDER Information

Npi 1063859130
Pac Id 5698915718
Professional Enrollment Id I20130712000115
Last Name OSTRANDER
First Name MIKEAL
Middle Name
Suffix
Gender M
Credential
Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year 2013
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SHOPKO STORES OPERATING CO LLC
Group Practice Pac Id 0749292639
Number Of Group Practice Members 124
Line 1 Street Address 7401 MINERAL POINT RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MADISON
State WI
Zip Code 537171703
Phone Number 6088336622
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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