Individual
TODD OTTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, LAKESIDE, ROOM 4527, CLEVELAND, OH 44106-1716
(216) 844-3002
(216) 201-4667
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35.120989
OH
207Y00000X
Otolaryngology Physician
MD424615
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2658799
—
OH
01
—
35.120989
LICENSE
OH
Enumeration date
05/23/2006
Last updated
07/02/2013
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