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Individual

DR. AMITAVA GHOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 S CRAPO ST, MT PLEASANT, MI 48858-2998
(989) 773-1700
(989) 772-7472
Mailing address
401 S CRAPO ST, MT PLEASANT, MI 48858-2998
(989) 773-1700
(989) 772-7472

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
AG044192
MI
2086S0129X
Vascular Surgery Physician
AG044192
MI

Other

Enumeration date
07/26/2005
Last updated
04/10/2008
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