IndividualActive
Glenn Vanotteren, MD
NPI 1700826880 · Critical Care Medicine (Internal Medicine) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1700826880
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301058500 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4100 Lake Dr Se
S-200
Grand Rapids, MI 49546-8292
Phone: (616) 949-8244
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2024-05-20
- Certified
- 2024-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.