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Tijunae Otterbridge
NPI 1861208951 · on the registry since 2024
Practice
- Address
- 4218 Burton St Se
Grand Rapids, MI 49546 - Phone
- (616) 940-0040
- Clinicians at this address
- 447
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-04
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