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C. Joe Ottinger, MD
Neurology with Special Qualifications in Child Neurology Physician in Fort Wayne, Indiana
NPI 1952308140

C. Joe Ottinger is a Neurology with Special Qualifications in Child Neurology Physician based in Fort Wayne, IN and is specialized in Neurology with Special Qualifications in Child Neurology. C. Joe Ottinger practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for C. Joe Ottinger is 1952308140 and holds a License No. 01023383A (Indiana).

The current practice location address for C. Joe Ottinger is 7956 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-436-2416 and via fax at 260-436-9662. You can also correspond with C. Joe Ottinger through the mailing address at 7956 W JEFFERSON BLVD, FORT WAYNE, IN - 46804-4140 (mailing address contact number: 260-436-2416).

Location: 7956 W Jefferson Blvd, Fort Wayne, IN, 46804-4140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952308140
Provider Name
C. Joe Ottinger
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7956 W Jefferson Blvd, Fort Wayne, IN, 46804-4140
Phone Number
260-436-2416
Fax Number
260-436-9662
Provider Enumeration Date
07/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100096120 05 IN
2717847 05 MI
130005977 01 IN RR MEDICARE
0295872 05 OH
institution
Provider Business Practice Location Address Details
Address
7956 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4140
Phone Number
260-436-2416
Fax Number
260-436-9662
person
Provider Business Mailing Address Details
Address
7956 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4140
Phone Number
260-436-2416
Fax Number
260-436-9662
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
01023383A (Indiana)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
01023383A (Indiana)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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