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Individual

DR. JASON D OETMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 728-4936
Mailing address
1675 LEAHY ST STE 315A, MUSKEGON, MI 49442-5543
(231) 727-5244
(231) 727-5223

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101025958
MI
390200000X
Student in an Organized Health Care Education/Training Program
5151014073
MI

Other

Enumeration date
06/11/2019
Last updated
11/05/2021
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