Individual
MICHAEL WILLIAM ETCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 S. SPRINGFIELD AVE, BOLIVAR, MO 65613-2512
(417) 326-7814
(417) 326-4059
Mailing address
1120 S. SPRINGFIELD AVE, BOLIVAR, MO 65613-2512
(417) 326-7814
(417) 326-4059
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
TRN25263
FL
Other
Enumeration date
06/26/2017
Last updated
07/26/2024
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