SearchMichigan363A00000X

Maribeth Otis, PA-C

NPI 1538582283 · on the registry since 2014

Practice

Address
4069 Lake Dr Se Ste 118
Grand Rapids, MI 49546
Phone
(616) 267-8520
Organisation at this address
Spectrum Health
Michigan Medical Pc
Spectrum Health Hospital
Spectrum Health Hospitals
Michigan Medical Patient Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
121

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-06

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