Individual
LAUREN DANIELLE OTTENHOFF
Active
Individual
LAUREN DANIELLE OTTENHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
5101024553
MI
2084N0400X
Neurology Physician
1831584499
IL
2084N0400X
Neurology Physician
Primary
5101024553
MI
Other
Enumeration date
03/31/2015
Last updated
01/25/2021
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