Individual
EMMA SUE OTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 CLINTON ST, MUSKEGON, MI 49442
(231) 728-4601
Mailing address
2906 HYDE PARK RD, MUSKEGON, MI 49445-9325
(616) 822-0334
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601008782
MI
Other
Enumeration date
08/27/2018
Last updated
08/28/2018
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