Individual
RYOHEI OTSUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
163 BUTNER DR, HOPE, IN 47246-9447
(812) 546-6000
(812) 546-0368
Mailing address
163 BUTNER DR, HOPE, IN 47246-9447
(812) 546-6000
(812) 546-0368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01070005A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201085580
—
IN
Enumeration date
07/23/2008
Last updated
11/28/2012
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