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NICHOLAS CHRISTIAN OTTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6000
Mailing address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6000

Taxonomy

Speciality
Code
Description
License number
State
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
04/25/2024
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