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GARY G OTSUJI MD
NPI 1558361972
Family Medicine in Southfield, MI

Active since July 28, 2005
22250 PROVIDENCE DR, 5TH FLOOR, SOUTHFIELD, MI 48075(248) 849-3441(248) 849-5389 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary G Otsuji Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY G OTSUJI MD (NPI 1558361972) is an individual family medicine provider in Southfield, Michigan, licensed in Michigan (4301036749) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1558361972
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGARY G OTSUJICredential: MD
Location Address22250 PROVIDENCE DR, 5TH FLOORSouthfield, MI 48075-4825
Mailing Address15990 W 9 Mile RdSouthfield, MI 48075-4826 · (248) 849-4226 · Fax (248) 849-4240
Phone(248) 849-3441
Fax(248) 849-5389
Sole ProprietorNo
Enumeration DateJuly 28, 2005
Last NPPES UpdateFebruary 24, 2011
✔ NPI 1558361972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301036749
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
22250 PROVIDENCE DR, Southfield, MI 48075
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Other Identifiers 3

Medicaid176548310MI
Medicare UPIND72588MI
Medicare ID-Type Unspecified0F3602006MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCY L EPSTEIN PHARMD
Pharmacist
22250 PROVIDENCE DR
SOUTHFIELD, MI 48075
Oakland County (248) 849-3945
BRASWELL DRUE DEEN MD
Family Medicine
22250 PROVIDENCE DR, 5TH FLOOR.FL 5
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
DR. ALASDAIR I.L. MCKENDRICK M.D.
Colon & Rectal Surgery
22250 PROVIDENCE DR, SUITE 208
SOUTHFIELD, MI 48075
Oakland County (248) 557-8780
DR. FREDDY R SOSA M.D.
Internal Medicine (Gastroenterology)
22250 PROVIDENCE DR, SUITE 703
SOUTHFIELD, MI 48075
Oakland County (248) 569-1770
JEFFEREY E MICHAELSON MD
Orthopaedic Surgery
22250 PROVIDENCE DR, SUITE 401
SOUTHFIELD, MI 48075
Oakland County (866) 974-2673
LAMAURICE H GARDNER PSYD
Psychologist (Clinical)
22250 PROVIDENCE DR, SUITE 207
SOUTHFIELD, MI 48075
Oakland County (313) 576-1000
KATHERINE CYBINSKI D.O.
Family Medicine
22250 PROVIDENCE DR, SUITE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
RALPH DONALD PEARLMAN MD
Colon & Rectal Surgery
22250 PROVIDENCE DR, STE #702
SOUTHFIELD, MI 48075
Oakland County (248) 557-9650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Otsuji's NPI number?

The NPI number for Gary Otsuji is 1558361972. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Gary Otsuji located?

Gary Otsuji practices at 22250 Providence Dr 5th Floor, Southfield, MI 48075. The listed phone number is (248) 849-3441.

What is Gary Otsuji's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gary Otsuji was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.