Individual
BENJAMIN OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-2000
Mailing address
6651 WINTER CREEK RD, NORTON SHORES, MI 49444-8771
(609) 941-8690
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101027624
MI
Other
Enumeration date
06/28/2019
Last updated
02/22/2024
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