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Organization

OTSEGO FAMILY MEDICAL PRACTICE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRED D BOOTHBY CNP (OWNER)
(269) 628-4997
Entity
Organization

Contact information

Practice address
34471 NORTH DR, GOBLES, MI 49055-9670
(269) 628-2789
Mailing address
34471 NORTH DR, GOBLES, MI 49055-9670
(269) 628-2789

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704142595
MI

Other

Enumeration date
03/15/2007
Last updated
08/22/2020
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