KEAGHAN OTTENBAKER, DO
Family Medicine
Active
Individual
NPI: 1558987149
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 5151014380 (MI) |
Frequently Asked Questions
NPI 1558987149 is the National Provider Identifier for KEAGHAN OTTENBAKER, DO, a Family Medicine provider located in Ada, MI. This NPI was enumerated on June 19, 2020.
KEAGHAN OTTENBAKER, DO practices at 7128 FULTON ST E, Ada, MI 49301.
Quick Facts
- NPI
- 1558987149
- Type
- Individual
- Enumerated
- Jun 19, 2020
- Last Updated
- Sep 6, 2023
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