Individual
DR. JAMES RICHARD OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
36014 KINGSLAND CT, CLINTON TOWNSHIP, MI 48035-1145
(586) 792-2948
(586) 792-2948
Mailing address
36014 KINGSLAND CT, CLINTON TOWNSHIP, MI 48035-1145
(586) 792-2948
(586) 792-2948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007677
MI
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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