Individual
GODSON G KOTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1904 E. CHICAGO ROAD, STURGIS, MI 49091
(269) 651-7003
(269) 651-8970
Mailing address
1904 E. CHICAGO ROAD, STURGIS, MI 49091
(269) 651-7003
(269) 651-8970
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301078341
MI
2086S0129X
Vascular Surgery Physician
GK078341
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104342471
—
MI
05
—
4342471
—
MI
Enumeration date
10/20/2005
Last updated
04/16/2009
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