Provider Demographics
NPI:1346450061
Name:OSTRANDER, CAROLYN H (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:H
Last Name:OSTRANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9893 BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:PITTSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54466-9763
Mailing Address - Country:US
Mailing Address - Phone:715-650-1254
Mailing Address - Fax:
Practice Address - Street 1:111 DEHNE DR
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:WI
Practice Address - Zip Code:54421-9581
Practice Address - Country:US
Practice Address - Phone:715-223-2331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI53714-020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine