Individual
JONATHAN E. BOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 SIXTH ST STE 206, TRAVERSE CITY, MI 49684-2359
(231) 935-5090
(231) 935-5093
Mailing address
1221 SIXTH ST STE 206, TRAVERSE CITY, MI 49684-2359
(231) 935-5090
(231) 935-5093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301098556
MI
207RI0200X
Infectious Disease Physician
Primary
4301098556
MI
Other
Enumeration date
05/25/2011
Last updated
06/06/2023
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