RIICHI ANDRE OTA

MINNEAPOLIS, MN
NPI1891318127
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-05-21
Last Update Date2024-11-22
Business Address
RIICHI ANDRE OTA M.D.
516 DELAWARE ST SE
MINNEAPOLIS, MN 55455-0356
Phone number: 612-624-7374
Mailing Address
RIICHI ANDRE OTA M.D.
6071 W. OUTER DRIVE
DETROIT, MI 48235
Phone number: 313-966-3300