Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jared Otting, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669220836

Dr. Jared Otting, MD is a Student in an Organized Health Care Education/Training Program in Warren, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone: (586) 573-5059
Fax: (586) 573-5855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4351052801 (MI)

Record details

NPI number1669220836
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 10, 2024
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing address11800 E 12 Mile Rd, Warren, MI 48093-3472

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