Individual
DR. VENKATA SAI SHESHU KUMAR ETHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3190 EAST MIDLAND ROAD, BAY CITY, MI 48706
(989) 667-6650
(989) 667-6660
Mailing address
3190 E MIDLAND RD, BAY CITY, MI 48706-2755
(989) 667-6650
(989) 667-6660
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301102600
MI
Other
Enumeration date
06/24/2010
Last updated
08/28/2013
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