Otto Raul Medinilla Sr MD

NPI #1780854596 in Wilmington, Delaware

Provider Information

NPI Number: 1780854596
Entity Type: Organization
Organization Name: Otto Raul Medinilla Sr MD
Primary Specialty: Neurological Surgery
Enumeration Date: Mar 7, 2008
Last Updated: Dec 27, 2011

Practice Location

Address: 110 WELDIN PARK DR
City: Wilmington
State: Delaware
ZIP Code: 19803-4710
Phone: (302) 764-8693

Authorized Official

Name: OTTO RAUL MEDINILLA SR., M.D.
Title: OWNER
Phone: (302) 764-8693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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