Individual
DR. HENRY OTTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 WISCONSIN AVE, GRAND HAVEN, MI 49417-2472
(616) 846-5080
(616) 846-9271
Mailing address
1310 WISCONSIN AVE, GRAND HAVEN, MI 49417-2472
(616) 846-5080
(616) 846-9271
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
4301028652
MI
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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