OrganizationActive
Infectious Diseases Associates, P.C.
NPI 1730135294 · Exclusive Provider Organization · Ypsilanti, MI
Provider details
- NPI number
- 1730135294
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Michael Otto, President(734) 712-8600
- License
- 029166 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
5333 Mcauley Dr
R3106
Ypsilanti, MI 48197-1014
Phone: (734) 712-8600
Approximate (ZIP-level) locationGet directions
Mailing address
5333 Mcauley Dr
Ypsilanti, MI 48197-1014
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2010-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.