Individual
DR. THEETHAYE LONAPPAN ITTIARA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
142 E MAUMEE ST, ADRIAN, MI 49221-2735
(517) 263-5810
Mailing address
5442 PINE VIEW DR, YPSILANTI, MI 48197-8963
(734) 485-0868
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301031889
MI
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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