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Organization
HORIZON MEDICAL PC
Active
Organization
HORIZON MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID T OTTENBAKER M.D. (PRESIDENT)
(616) 846-8540
Entity
Organization
Contact information
Practice address
600 PARK AVE, GRAND HAVEN, MI 49417-2173
(616) 846-9712
(616) 846-9714
Mailing address
600 PARK AVE, GRAND HAVEN, MI 49417-2173
(616) 846-9712
(616) 846-9714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/06/2006
Last updated
09/11/2025
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