Organization
ANGELA RENSHAW, DPM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA M OSTROSKI DPM (OWNER)
(810) 625-2744
Entity
Organization
Contact information
Practice address
3001 PLYMOUTH RD, SUITE 105, ANN ARBOR, MI 48105-3205
(734) 994-3668
(734) 994-4088
Mailing address
3001 PLYMOUTH RD, SUITE 105, ANN ARBOR, MI 48105-3205
(734) 994-3668
(734) 994-4088
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001994
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0994547
HEALTH PLUS OF MICHIGAN
MI
05
—
4409614
—
MI
01
—
4858112380
BLUE CROSS
MI
Enumeration date
03/28/2007
Last updated
01/21/2010
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