SearchMichigan235Z00000X

Emily Otten

NPI 1386295392 · on the registry since 2019

Practice

Address
1425 Bemis St Se
Grand Rapids, MI 49506
Phone
(616) 915-9632

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
MI, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan