MR. Gerald Michael Ottenwalder, KCPM
NPI #1417449083 in Burlington, Kansas
Provider Information
- NPI Number
- 1417449083
- Entity Type
- Individual
- Name
- MR. Gerald Michael Ottenwalder, KCPM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Credential
- KCPM
- Enumeration Date
- May 30, 2018
- Last Updated
- May 30, 2018
Practice Location
- Address
- 420 KENNEDY ST
- City
- Burlington
- State
- Kansas
- ZIP Code
- 66839-1120
- Phone
- (620) 364-2606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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