Organization
OTTO RAUL MEDINILLA SR MD
Active
Organization
OTTO RAUL MEDINILLA SR MD
Active
Other names
Otto R Medinilla MD FACS
Organization subpart
No
Provider details
NPI number
Authorized official
OTTO RAUL MEDINILLA SR. M.D. (OWNER)
(302) 764-8693
Entity
Organization
Contact information
Practice address
110 WELDIN PARK DR, WILMINGTON, DE 19803-4710
(302) 764-8693
(302) 764-8693
Mailing address
110 WELDIN PARK DR, WILMINGTON, DE 19803-4710
(302) 764-8693
(302) 764-8693
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C10001897
DE
Other
Enumeration date
03/07/2008
Last updated
12/27/2011
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