Individual
DR. ANGELA S KUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
TRINITY HEALTH IHA MEDICAL GROUP GYNECOLOGY ONCOLOGY, 5303 ELLIOT DRIVE SUITE 220, YPSILANTI, MI 48197-8632
(734) 712-2005
(734) 712-2013
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, LOBBY J2000, ANN ARBOR, MI 48105
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
049418
CT
207VX0201X
Gynecologic Oncology Physician
Primary
4301081158
MI
207VX0201X
Gynecologic Oncology Physician
Q7907
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427016989
—
CT
05
—
357012901
—
TX
05
—
357012902
—
TX
Enumeration date
05/03/2006
Last updated
01/04/2024
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