Mary Otterson is a Surgery in Milwaukee, Wisconsin. Mary Otterson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mary Otterson is 1255385001. The last update date is 2007-07-08.
Mary Otterson's current location address is Froedtert & Med College Clin - West, Milwaukee, Wisconsin. You can contact this provider via phone number 4148053666. The mailing address for Mary Otterson is Froedtert & Med College Clin - West, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Otterson |
|---|---|
| Address | Froedtert & Med College Clin - West, Milwaukee, Wisconsin |
| Phone Number | 4148053666 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255385001 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Froedtert & Med College Clin - West |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 53226 |
| Phone Number | 4148053666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 27051 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31590300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Otterson by the Centers for Medicare & Medicaid Services?
The Mary Otterson has been issued the NPI (National Provider Identifier) 1255385001, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mary Otterson's facilities are situated?
The facilities of Mary Otterson are physically located at the following address: Froedtert & Med College Clin - West, Milwaukee, WI, 53226.
What is Mary Otterson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Otterson's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255385001 to Mary Otterson?
The Centers for Medicare & Medicaid Services originally issued the 1255385001 to Mary Otterson on 2006-05-19.
As of what date were the details related to Mary Otterson most recently updated or revised?
The information pertaining to Mary Otterson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.