Individual
DR. ANNELIE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7093 DEXTER ANN ARBOR RD, DEXTER, MI 48130-8568
(734) 426-9028
(734) 426-9029
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301098564
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301098564
MI
Other
Enumeration date
06/27/2011
Last updated
05/28/2020
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