Individual
KOTOMI OBAYASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
20095 GILBERT RD, BIG RAPIDS, MI 49307-2365
(231) 592-1360
(231) 592-1361
Mailing address
20095 GILBERT RD, BIG RAPIDS, MI 49307-2365
(231) 592-1360
(231) 592-1361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020014565
MO
208100000X
Physical Medicine & Rehabilitation Physician
2021014853
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101028775
MI
Other
Enumeration date
06/16/2020
Last updated
05/27/2025
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