TIMOTHY LEE OTTO

WYANDOTTE, MI
NPI1386003507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MI  5101022209)
Enumeration Date2016-02-16
Last Update Date2018-02-23
Business Address
TIMOTHY LEE OTTO D.O.
2333 BIDDLE AVE
WYANDOTTE, MI 48192-4668
Phone number: 734-287-9029
Mailing Address
TIMOTHY LEE OTTO D.O.
2333 BIDDLE AVE
WYANDOTTE, MI 48192-4668
Phone number: 734-287-9029