Individual
DENNIS E. OTTEMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20669 BOND RD NE STE 100, POULSBO, WA 98370-6525
(360) 779-2020
(360) 779-3093
Mailing address
20669 BOND RD NE, STE 100, POULSBO, WA 98370-6525
(541) 756-2584
(541) 756-5783
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD17921
OR
207W00000X
Ophthalmology Physician
Primary
MD60903092
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C70299
UPIN
—
Enumeration date
08/02/2005
Last updated
03/07/2023
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