Individual
JUDSON WILLIAM OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4460
(563) 584-4395
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-087377
IL
207X00000X
Orthopaedic Surgery Physician
28791
WI
207X00000X
Orthopaedic Surgery Physician
Primary
29478
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099085
—
IA
Enumeration date
05/17/2006
Last updated
01/12/2011
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