Individual
DR. ANGELA K PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(586) 576-1092
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(586) 576-1092
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01107
BLUE SHIELD
MI
01
—
540E00292
BLUE SHIELD
MI
01
—
640E07684
BLUE SHIELD
MI
Enumeration date
10/10/2006
Last updated
06/13/2012
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