Individual
DR. CARLOS A SOTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4101
Mailing address
953 ARBORETUM DR, SALINE, MI 48176-1352
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-008909
OH
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
013218
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000522450
ANTHEM BCBS
OH
01
—
000000522463
ANTHEM
OH
05
—
2776572
—
OH
05
—
4709880
—
MI
05
—
4710040
—
MI
05
—
4856160
—
MI
01
—
CS013218
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/19/2006
Last updated
01/21/2010
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