MIRA OTTO

DEARBORN, MI
NPI1851719553
Former NameMIRA SAMET
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301105094)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-01
Last Update Date2020-10-20
Business Address
MIRA OTTO M.D.
5500 AUTO CLUB DR STE 300
DEARBORN, MI 48126-2779
Phone number: 313-982-8214
Mailing Address
MIRA OTTO M.D.
2799 W GRAND BLVD HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT
DETROIT, MI 48202-2608
Phone number: 313-916-2600