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Mark Conrad Ottelin, MD
Urology Physician in Greensboro, North Carolina
NPI 1164418216

Mark Conrad Ottelin is a Urology Physician based in Greensboro, NC. Mark Conrad Ottelin practices in Greensboro, NC and has the professional credentials of MD. The NPI Number for Mark Conrad Ottelin is 1164418216 and holds a License No. 35458 (North Carolina).

The current practice location address for Mark Conrad Ottelin is 509 N Elam Ave Fl 2, Greensboro, NC and can be reached out via phone at 336-274-1114 and via fax at 336-232-5325.

Location: 509 N Elam Ave Fl 2, Greensboro, NC, 27403-1157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164418216
Provider Name
Mark Conrad Ottelin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
509 N Elam Ave Fl 2, Greensboro, NC, 27403-1157
Phone Number
336-274-1114
Fax Number
336-232-5325
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64398 01 NC BLUE CROSS BLUE SHIELD
8964398 05 NC
institution
Provider Business Practice Location Address Details
Address
509 N Elam Ave Fl 2
City
Greensboro
State
North Carolina
Zip
27403-1157
Phone Number
336-274-1114
Fax Number
336-232-5325
person
Provider Business Mailing Address Details
Address
509 N Elam Ave Fl 2
City
Greensboro
State
North Carolina
Zip
27403-1157
Phone Number
336-274-1114
Fax Number
336-232-5325
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
35458 (North Carolina)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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