Doctor Name: | MARIHELEN OTTO |
NPI Number: | 1306195771 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCP |
License Number: | |
Business Practice Address: | 31330 Schoolcraft Rd Ste 200 Livonia, MI - 481502041 |
Business Phone Number: | 7345259712 |
Business Fax Number: | |
Mailing Address: | 31330 Schoolcraft Rd, Ste 200 LIVONIA |
State: | MI |
Postal Code: | 481502041 |
Phone Number: | 7345259712 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2012 |
NPI Last Update Date: | 08/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 242T00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Perfusionist |
Taxonomy Specialization: | |
Taxonomy Definition: | A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient |