Individual
ERIC OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10750 CULVER RD, BRIGHTON, MI 48114-9067
(586) 894-8688
Mailing address
10750 CULVER RD, BRIGHTON, MI 48114-9067
(586) 894-8688
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
0300234853812
MI
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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