MICHAEL S OTRUBA

LADSON, SC
NPI1649255316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: SC  000312)
Enumeration Date2005-12-14
Last Update Date2019-08-01
Business Address
MICHAEL S OTRUBA D.O.
161 TWO POND LOOP
LADSON, SC 29456-6917
Phone number: 843-475-1020
Mailing Address
MICHAEL S OTRUBA D.O.
161 TWO POND LOOP
LADSON, SC 29456-6917
Phone number: