Individual
MARY OTOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2101 DUBOIS DR, WARSAW, IN 46580-3210
(574) 267-3200
(574) 372-7649
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3513
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01082513A
IN
208600000X
Surgery Physician
0436277
KS
Other
Enumeration date
09/19/2008
Last updated
06/29/2022
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