Individual
SUSAN MARIE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
113 E WILLIAMS ST, OWOSSO, MI 48867-2360
(989) 725-6101
(989) 723-3601
Mailing address
1575 RAMBLEWOOD DR, EAST LANSING, MI 48823-6384
(989) 725-6528
(989) 723-9446
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101012156
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447328299
—
MI
Enumeration date
12/01/2006
Last updated
04/25/2017
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