NPI 1730135294

Infectious Diseases Associates, P.C.

Organisation Exclusive Provider Organization Ypsilanti, MI

Practice location

Address: 5333 McAuley Dr R3106, Ypsilanti, MI 48197-1014
Phone: (734) 712-8600

Authorised official

Name: Michael Otto
Title: President
Phone: (734) 712-8600

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 029166 (MI)

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Registry record

NPI: 1730135294
Entity type: Organization
NPI issued: 26 May 2006
Record last updated: 7 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.