Individual
SWETHA DHARMAVARAM KOTTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
12821 CROSS OVER DR, DEWITT, MI 48820-7993
(517) 669-4610
Mailing address
1589 BELVEDERE AVE, OKEMOS, MI 48864-1277
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302042352
MI
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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