Individual
DR. JAMES P TWESTEN-OTOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3570 HENRY ST, SUITE 220, NORTON SHORES, MI 49441
(616) 685-6920
(231) 672-7717
Mailing address
PO BOX 776982, CHICAGO, IL 60677-6982
(800) 494-5797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301072802
MI
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
4301072802
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174599344
—
MI
Enumeration date
02/27/2006
Last updated
07/11/2023
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