Individual
MICHAEL W MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3232 N WELLNESS DR, HOLLAND, MI 49424-8027
(616) 494-4250
Mailing address
3232 N WELLNESS DR, HOLLAND, MI 49424-8027
(616) 494-4250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301051505
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11284226
BCBS
MI
01
—
1598712390
GROUP NPI
MI
05
—
4770870
—
MI
05
—
4771027
—
MI
05
—
4771072
—
MI
05
—
4773792
—
MI
05
—
4773999
—
MI
Enumeration date
05/13/2006
Last updated
01/11/2016
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