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1770684466
COLIN J OTT
WAUSAU, WI
NPI
1770684466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: WI 5001643)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
-- COLIN J OTT DDS
2600 STEWART AVE STE 266
WAUSAU, WI 54401
Phone number: 715-845-8841
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Mailing Address
-- COLIN J OTT DDS
1000 N OAK AVE
MARSHFIELD, WI 54449-5777
Phone number:
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