DAVID THOMAS OTTENBAKER

GRAND HAVEN, MI
NPI1386648624
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301047511)
Enumeration Date2005-06-01
Last Update Date2012-01-24
Business Address
-- DAVID THOMAS OTTENBAKER MD
1445 SHELDON RD SUITE 201
GRAND HAVEN, MI 49417-2480
Phone number: 616-846-8540
Mailing Address
-- DAVID THOMAS OTTENBAKER MD
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number: