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Individual

DR. WILLIAM SAMUEL OTTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2705 AMESBURY RD, WINSTON SALEM, NC 27103-6752
(336) 705-0392
(336) 765-3401
Mailing address
2705 AMESBURY RD, WINSTON SALEM, NC 27103-6752
(336) 705-0392
(336) 765-3401

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME31610
FL

Other

Enumeration date
06/13/2008
Last updated
06/25/2013
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