Individual
ANILA JOHNYKUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S WASHINGTON AVE, SAGINAW, MI 48601-2551
(989) 907-8000
Mailing address
800 S WASHINGTON AVE, SAGINAW, MI 48601-2551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
305826
LA
363A00000X
Physician Assistant
Primary
5601007316
MI
363A00000X
Physician Assistant
PA00576
MS
Other
Enumeration date
03/05/2015
Last updated
01/04/2023
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