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Individual

DUANE OETMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7751 BYRON CENTER AVE SW, BYRON CENTER, MI 49315-8001
(616) 878-3321
(616) 878-0858
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO076591
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080D16151
BXBS
MI
05
4221378
MI
01
P106668
BCN
MI
Enumeration date
07/09/2006
Last updated
02/24/2021
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