Individual
MICHAEL A ANGILERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4000
Mailing address
330 E MITCHELL ST, SUITE 210, PETOSKEY, MI 49770-2671
(866) 287-5269
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301052658
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3002492362
BCBS
MI
Enumeration date
07/15/2005
Last updated
07/08/2007
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