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1386003507
TIMOTHY LEE OTTO
WYANDOTTE, MI
NPI
1386003507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 5101022209)
Enumeration Date
2016-02-16
Last Update Date
2018-02-23
Business Address
TIMOTHY LEE OTTO D.O.
2333 BIDDLE AVE
WYANDOTTE, MI 48192-4668
Phone number: 734-287-9029
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Mailing Address
TIMOTHY LEE OTTO D.O.
2333 BIDDLE AVE
WYANDOTTE, MI 48192-4668
Phone number: 734-287-9029
Copy
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