Individual
JOSEPH TIMOSHENKO OETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 BURTON ST SE, GRAND RAPIDS, MI 49506-4670
(616) 245-2401
(616) 245-4052
Mailing address
2000 BURTON RD SE, GRAND RAPIDS, MI 49506
(616) 245-2401
(616) 245-4052
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301030986
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1168482
—
MI
Enumeration date
10/23/2006
Last updated
07/08/2007
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