IndividualActive
Michael Ott, M.D.
NPI 1861515504 · Colon & Rectal Surgery Physician · Grand Rapids, MI
Provider details
- NPI number
- 1861515504
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301087717 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4100 Lake Dr Se
Suite 205
Grand Rapids, MI 49546-8292
Phone: (616) 974-4511
Fax: (616) 356-4102
Approximate (ZIP-level) locationGet directions
Mailing address
4100 Lake Dr Se
Grand Rapids, MI 49546-8292
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.