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Organization

A.J. CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA JOSEPH MD (OWNER)
(810) 869-8694
Entity
Organization

Contact information

Practice address
4511 MILLER RD STE 105, FLINT, MI 48507-1107
(810) 720-5715
(810) 730-0891
Mailing address
514 S FRANKLIN AVE, FLINT, MI 48503-5327
(269) 945-2176
(269) 945-0885

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
207L00000X
Anesthesiology Physician
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0500810102
BLUE CROSS BLUE SHIELD
MI
05
104574510
MI
Enumeration date
10/12/2007
Last updated
01/09/2024
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