Individual
DR. JARED OTTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5059
(586) 573-5855
Mailing address
11800 E 12 MILE RD, WARREN, MI 48093-3472
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351052801
MI
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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