Individual
JONATHAN PARKER ETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3364
(734) 936-7175
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301511477
MI
208100000X
Physical Medicine & Rehabilitation Physician
4351033564
MI
2081P0004X
Spinal Cord Injury Medicine Physician
4351033564
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
4351033564
MI
Other
Enumeration date
05/04/2018
Last updated
07/03/2024
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