DR. Wael Mohammad Otaibi, D.O.

NPI #1255452124 in Decatur, Illinois

Provider Information

NPI Number: 1255452124
Entity Type: Individual
Name: DR. Wael Mohammad Otaibi, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: D.O.
Enumeration Date: Apr 2, 2007
Last Updated: Nov 15, 2019

Practice Location

Address: 1770 E LAKE SHORE DR STE 105
City: Decatur
State: Illinois
ZIP Code: 62521-3800
Phone: (217) 329-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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