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

Mr. Mark David Ottmar, MD

Individual provider Diagnostic Radiology Physician · NPI 1255377016

Mr. Mark David Ottmar, MD is a Diagnostic Radiology Physician in St Joseph, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1234 Napier Ave
St Joseph, MI 49085
Phone: (269) 983-8300
Fax: (269) 983-6965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301049003 (MI)

Record details

NPI number1255377016
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESJune 7, 2018
Mailing address3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746

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