Individual
STEVEN OTTENWELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2750 E BELTLINE AVE NE, ATTN: OCC HEALTH OFFICE, GRAND RAPIDS, MI 49525-8614
(616) 447-5870
(616) 391-7733
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301032879
MI
Other
Enumeration date
05/30/2006
Last updated
07/21/2014
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