Individual
ANGELA ILAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(248) 344-0710
Mailing address
21232 FLANDERS ST, FARMINGTON HILLS, MI 48335-5332
(734) 945-5394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008667
MI
363AM0700X
Medical Physician Assistant
5601008667
MI
Other
Enumeration date
05/29/2018
Last updated
10/30/2023
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