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Individual
NICHOLAS CHRISTIAN OTTEN
Active
Individual
NICHOLAS CHRISTIAN OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036136062
IL
207Q00000X
Family Medicine Physician
64397
WI
208M00000X
Hospitalist Physician
Primary
036136062
IL
208M00000X
Hospitalist Physician
64397
WI
390200000X
Student in an Organized Health Care Education/Training Program
125060987
IL
Other
Enumeration date
05/29/2012
Last updated
07/23/2026
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