| Mr Mark David Ottmar, MD | |
|
1234 Napier Ave, St Joseph, MI 49085 | |
| (269) 983-8300 | |
| (269) 983-6965 |
| Full Name | Mr Mark David Ottmar |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1234 Napier Ave, St Joseph, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255377016 | NPI | - | NPPES |
| 300135781 | Other | RAILROAD MEDICARE | |
| 4411238 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301049003 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark David Ottmar, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7339 | Mr Mark David Ottmar, MD 1234 Napier Ave, St Joseph, MI 49085 Ph: (269) 983-8300 |
Mr. Nathan John Jordan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, St Joseph, MI 49085 Phone: 269-983-8300 Fax: 269-983-6965 | |
Ms. Crystal Faith Darling, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1234 Napier Ave, St Joseph, MI 49085 Phone: 269-983-8300 Fax: 269-983-6965 | |
Mr. Christopher Karl Shier, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Avenue, St Joseph, MI 49085 Phone: 269-983-8300 Fax: 269-983-6965 | |
Mr. Vernon Sternhill, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1234 Napier Ave, St Joseph, MI 49085 Phone: 269-983-8300 Fax: 269-983-6965 | |
Mr. Roman Hyszczak, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Avenue, St Joseph, MI 49085 Phone: 269-983-8300 Fax: 269-983-6965 |