Individual
DR. MICHAEL HENRY OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5333 MCAULEY DR, STE 6109, YPSILANTI, MI 48197-0000
(734) 712-8600
(734) 712-8636
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MO047324
MI
207RI0200X
Infectious Disease Physician
Primary
4301047324
MI
Other
Enumeration date
11/08/2006
Last updated
09/26/2014
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