Individual
WARREN KOTHRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
S75W32284 PAUL LN, MUKWONAGO, WI 53149-8611
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APP-000386987
OH
Other
Enumeration date
10/24/2020
Last updated
10/24/2020
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