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Individual

DR. DENISE ANNETTE BOTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11100 EUCLID AVENUE, MAILSTOP 6048, CLEVELAND, OH 44106
(216) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35072532
OH
2080P0006X
Developmental - Behavioral Pediatrics Physician
35072532
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000233267
UNISON
OH
01
000000558056
ANTHEM
OH
05
2019078
OH
01
439619
WELLCARE
OH
01
5159601
AETNA
OH
Enumeration date
11/06/2007
Last updated
08/18/2011
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