Individual
MARY OTTEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16910 FRANCES ST, OMAHA, NE 68130-2398
(402) 505-8777
(402) 933-7767
Mailing address
16910 FRANCES ST, OMAHA, NE 68130-2398
(402) 505-8777
(402) 933-7767
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023
NE
Other
Enumeration date
07/26/2016
Last updated
07/06/2022
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