MARK CONRAD OTTELIN

GREENSBORO, NC
NPI1164418216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: NC  35458)
Enumeration Date2005-09-23
Last Update Date2011-02-11
Business Address
-- MARK CONRAD OTTELIN MD
509 N ELAM AVE FL 2
GREENSBORO, NC 27403-1157
Phone number: 336-274-1114
Mailing Address
-- MARK CONRAD OTTELIN MD
509 N ELAM AVE FL 2
GREENSBORO, NC 27403-1157
Phone number: 336-274-1114
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