Individual
LINDA K ANGELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 LAKE LANSING RD, SUITE H, LANSING, MI 48912-3753
(800) 551-7347
Mailing address
2723 S STATE ST, SUITE 220, ANN ARBOR, MI 48104-6188
(800) 551-7347
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301049568
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437147378
—
MI
01
—
180C846310
BCBSM
MI
05
—
4579740
—
MI
01
—
P00242561
RAILROAD MEDICARE
—
Enumeration date
10/13/2005
Last updated
04/22/2008
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