Individual
ANGELA KEROS BADRA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
204 W EXCHANGE ST, OWOSSO, MI 48867-2818
(323) 723-0046
Mailing address
111 SWALLOWTAIL LN, OKEMOS, MI 48864-3186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101012489
MI
Other
Enumeration date
11/02/2005
Last updated
11/05/2021
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