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1043470958
WILLIAM SAMUEL OTTO
WINSTON SALEM, NC
NPI
1043470958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: FL ME31610)
Enumeration Date
2008-06-13
Last Update Date
2013-06-25
Business Address
Dr. WILLIAM SAMUEL OTTO M.D.
2705 AMESBURY RD
WINSTON SALEM, NC 27103-6752
Phone number: 336-705-0392
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Mailing Address
Dr. WILLIAM SAMUEL OTTO M.D.
2705 AMESBURY RD
WINSTON SALEM, NC 27103-6752
Phone number: 336-705-0392
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