Individual
BROOKLYN PIERCE OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 MERCY DR STE 100, MUSKEGON, MI 49444-1833
(231) 733-1326
(231) 733-5212
Mailing address
13411 PINEVIEW WAY APT 204, SOUTHGATE, MI 48195-3436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011961TMP23
MI
Other
Enumeration date
09/05/2023
Last updated
05/23/2025
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