Individual
COURTNEY DOTINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25 MICHIGAN ST NE STE 4200, GRAND RAPIDS, MI 49503-2559
(616) 267-9150
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704295602
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704295602
MI
Other
Enumeration date
12/11/2017
Last updated
06/19/2025
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