Individual
DR. FRED W. ORTMANN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 NORTHLINE AVENUE, STE 200, GREENSBORO, NC 27408-7602
(336) 545-5000
(336) 545-5020
Mailing address
PO BOX 38008, GREENSBORO, NC 27438-8008
(336) 545-5000
(336) 545-5020
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
2007-00185
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906724
—
NC
Enumeration date
04/17/2006
Last updated
03/15/2012
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