Organization
MICHIANNA SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GODSON G KOTIA MD (OWNER)
(269) 651-7003
Entity
Organization
Contact information
Practice address
1904 E CHICAGO RD, STURGIS, MI 49091-8522
(269) 651-7003
(269) 651-8790
Mailing address
1904 E CHICAGO RD, STURGIS, MI 49091-8522
(269) 651-7003
(269) 651-8790
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301078341
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104342471
—
MI
Enumeration date
11/12/2007
Last updated
05/05/2009
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