Individual
JOHN A OTREMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 W UNIVERSITY DR, SUITE 250, ROCHESTER, MI 48307-1886
(248) 650-6301
(248) 650-5486
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(248) 650-6301
(248) 650-5486
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301101787
MI
Other
Enumeration date
04/27/2009
Last updated
10/27/2016
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