ILYA A KHOTIMSKY M.D.
Individual Provider (NPI-1)
Active
Anesthesiology
Provider Information
- NPI Number
1245563329- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 430 E DIVISION ST, FOND DU LAC, WI, 549354560
- Phone
- (920) 929-2300
Specialties & Taxonomies
Anesthesiology
License: WI #56854-20
Anesthesiology, Critical Care Medicine
License: WI #56854-20
Anesthesiology
Primary License: WI #56854