Timothy Lee Otto, D.O.

NPI #1386003507 in Wyandotte, Michigan

Provider Information

NPI Number: 1386003507
Entity Type: Individual
Name: Timothy Lee Otto, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Feb 16, 2016
Last Updated: Feb 23, 2018

Practice Location

Address: 2333 BIDDLE AVE
City: Wyandotte
State: Michigan
ZIP Code: 48192-4668
Phone: (734) 287-9029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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