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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIBETH ANNE OTIS, PA-C

Active

MARIBETH ANNE OTIS, PA-C is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1538582283 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRAND RAPIDS, MI

Registration Details

NPI Number
1538582283
Provider Type
Individual
Gender
Female
NPI Issued
Jan 31, 2014 (12.555624534008 yrs)
Last Updated
May 6, 2024
License
5601006930 (MI)

Practice Information

Address
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI, 495468816
Browse MI providers · Browse ZIP 49546
Phone
6162678520
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GRAND RAPIDS, MI

Name Credential NPI
MRS. JACQUELINE S JOHANSON P.A.-C 1952304982
RENEE K SALYER P.A-C 1760481386
MR. JOHN C HENDRICKS PA-C 1992705610
CHERYL ANN SCHMITT PA-C 1851391031
LARA ELIZABETH EVANS PA-C 1356343933
BENJAMIN P LOYD PA-C 1174515167
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.