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Individual
WILLIAM JOHN COTTRELL III
Active
Individual
WILLIAM JOHN COTTRELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
L2458549
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P34620019
MEDICARE PTAN
MI
Enumeration date
07/28/2010
Last updated
12/21/2015
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