# MICHIANNA SURGICAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487834073
- **Authorized official:** GODSON G KOTIA MD (OWNER)
- **Authorized official phone:** (269) 651-7003

## Contact information

- **Practice address:** 1904 E CHICAGO RD, STURGIS, MI 49091-8522
- **Practice address phone:** (269) 651-7003
- **Practice address fax:** (269) 651-8790
- **Mailing address:** 1904 E CHICAGO RD, STURGIS, MI 49091-8522
- **Mailing address phone:** (269) 651-7003
- **Mailing address fax:** (269) 651-8790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 4301078341 | MI | Yes |

## Other

- **Enumeration date:** 11/12/2007
- **Last updated:** 05/05/2009