ALISHA L KETTERER MD
NPI 1093755068
Family Medicine in Mayville, WI

Q: What is Alisha Ketterer's NPI number?

The NPI number for Alisha Ketterer is 1093755068. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Alisha Ketterer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Alisha Ketterer was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 07, 2006

360 S MOUNTIN DR, MAYVILLE, WI 53050(920) 387-7500 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2020, Feb 29, 2016, Feb 11, 2016 (3 updates tracked since 2016).

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About Alisha L Ketterer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISHA L KETTERER MD (NPI 1093755068) is an individual family medicine provider in Mayville, Wisconsin, licensed in Wisconsin (51141) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1093755068

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameALISHA L KETTERERCredential: MD

Location Address360 S MOUNTIN DRMayville, WI 53050-1498

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340 · Fax (920) 926-8370

Phone(920) 387-7500

Sole ProprietorNo

Enumeration DateJune 7, 2006

Last NPPES UpdateDecember 29, 20203 updates tracked since enumeration

NPPES CertifiedDecember 29, 2020

✔ NPI 1093755068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 51141

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

360 S MOUNTIN DR, Mayville, WI 53050

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Other Identifiers 1

Medicaid100004518WI

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH ANN WEBER DPT

Physical Therapist