Individual
KAROL L OTTEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
27780 NOVI RD, SUITE 108, NOVI, MI 48377-3401
(248) 348-2400
(248) 348-2991
Mailing address
30400 TELEGRAPH RD, SUITE 350, BINGHAM FARMS, MI 48025-4537
(248) 353-9460
(248) 353-8084
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101010595
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11445733511
—
MI
01
—
121909
CARECHOICES
MI
01
—
144314
GLHP
MI
01
—
160F376930
BCBS GROUP
MI
01
—
1656314934
BCBS IND
MI
01
—
4506740
AETNA
MI
01
—
C5951
MCARE
MI
Enumeration date
09/13/2005
Last updated
09/01/2009
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