Otsuji, Gary G
Otsuji, Gary G is an individual health care provider with primary practice located at 22250 Providence Dr 5Th Floor, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Otsuji, Gary G can be contacted via phone (248) 849-3441.Contact Information
Primary practice address
22250 Providence Dr 5Th Floor
Southfield MI 48075-4825
Phone: (248) 849-3441
Fax: (248) 849-5389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301036749 | Michigan |
Profile Details
| NPI number | 1558361972 |
|---|---|
| LBN Legal business name | Otsuji, Gary G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Feb 24th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558361972 | NPPES |
| Michigan | MEDICAID | 176548310 |
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