Individual
DR. JONATHAN JOSEPH COTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3110 GLENDALE AVE, WAUSAU, WI 54401-4050
(715) 845-8891
(715) 845-8891
Mailing address
3110 GLENDALE AVE, WAUSAU, WI 54401-4050
(715) 845-8891
(715) 845-8891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46432-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34668700
—
WI
Enumeration date
11/17/2006
Last updated
07/08/2007
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