Individual
DR. MICHAEL COLIN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 LAKE DR SE, SUITE 205, GRAND RAPIDS, MI 49546-8292
(616) 974-4511
(616) 356-4102
Mailing address
4100 LAKE DR SE, SUITE 205, GRAND RAPIDS, MI 49546-8292
(616) 974-4511
(616) 356-4102
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
4301087717
MI
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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