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1053163394
MAKAYLA DENAE OTTEMAN
GRAND RAPIDS, MI
NPI
1053163394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601012294)
Enumeration Date
2024-04-02
Last Update Date
2024-12-10
Business Address
MAKAYLA DENAE OTTEMAN PA-C
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2531
Phone number: 616-267-7900
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Mailing Address
MAKAYLA DENAE OTTEMAN PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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