COLIN J OTT DDS
Surgery Yellow Pages
Wausau, Wisconsin
Provider NPI: 1770684466
Provider Information:COLIN J OTT DDS
Practice Location:
2600 STEWART AVE STE 266 WAUSAU, WI 54401 US
Tel: 715-845-8841 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | WI | 5001643 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
33558000 | WI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin