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Individual

MICHAEL DOTTERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1761 BEALL AVE, WOOSTER, OH 44691-2342
(330) 263-8100
Mailing address
860 EAST BROAD STREET, SUITE I, ELYRIA, OH 44035-6542
(440) 323-8515
(440) 323-7900

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-333220
OH

Other

Enumeration date
10/29/2014
Last updated
10/01/2015
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