NPI 1013960129

Eromosele Anthony Otoadese, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Waterloo, IA

Practice location

Address: 1753 W Ridgeway Ave STE 111, Waterloo, IA 50701-4588
Phone: (219) 233-6211
Fax: (319) 233-2164
Mailing address: PO Box 2660, Waterloo, IA 50704-2660

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 28663 (IA)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Iowa →

Registry record

NPI: 1013960129
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2006
Record last updated: 29 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.