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Dr. William Samuel Otto, MD
General Practice Physician in Winston Salem, North Carolina
NPI 1043470958

William Samuel Otto is a General Practice Physician based in Winston Salem, NC. William Samuel Otto practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for William Samuel Otto is 1043470958 and holds a License No. ME31610 (North Carolina).

The current practice location address for William Samuel Otto is 2705 Amesbury Rd, Winston Salem, NC and can be reached out via phone at 336-705-0392 and via fax at 336-765-3401.

Location: 2705 Amesbury Rd, Winston Salem, NC, 27103-6752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043470958
Provider Name
William Samuel Otto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2705 Amesbury Rd, Winston Salem, NC, 27103-6752
Phone Number
336-705-0392
Fax Number
336-765-3401
Provider Enumeration Date
06/13/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2705 Amesbury Rd
City
Winston Salem
State
North Carolina
Zip
27103-6752
Phone Number
336-705-0392
Fax Number
336-765-3401
person
Provider Business Mailing Address Details
Address
2705 Amesbury Rd
City
Winston Salem
State
North Carolina
Zip
27103-6752
Phone Number
336-705-0392
Fax Number
336-765-3401
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ME31610 (Florida)
Definition
Definition to come...
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