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Individual

WENDY K OTTENBACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
701 N CLAYTON ST, WILMINGTON, DE 19805-3165
(302) 421-4333
Mailing address
701 N CLAYTON ST, WILMINGTON, DE 19805-3165

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C1-008290
DE
207P00000X
Emergency Medicine Physician
D0065609
MD
207P00000X
Emergency Medicine Physician
L8872
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114907367
DE
05
129151000
MD
05
413046400
MD
01
P00430507
RAILROAD
MD
Enumeration date
01/21/2006
Last updated
05/22/2012
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