Individual provider · Type 1 NPI

Mark David Ottmar, MD

Diagnostic Radiology Physician · St. Joseph, MI

NPI number 1255377016 Active

Practice location

1234 Napier Ave
St. Joseph, MI 49085

Call (269) 983-8300 Map

Fax (269) 983-6965

Mailing address

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X4301049003 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1255377016

Mark David Ottmar, MD's National Provider Identifier is 1255377016, issued on Jun 21, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Joseph, MI. The record was last updated on Jun 7, 2018.