Individual
ANGELA VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
461 TANNER DR, TROY, MI 48085-4714
(248) 425-5765
Mailing address
461 TANNER DR, TROY, MI 48085-4714
(248) 425-5765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010282
MI
363A00000X
Physician Assistant
—
MI
Other
Enumeration date
10/13/2020
Last updated
04/27/2022
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