Individual
MATTHEW BOTTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8501 MEADOW CRK, ROCKFORD, MI 49341
(616) 267-7884
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101022044
MI
Other
Enumeration date
06/22/2015
Last updated
02/26/2021
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