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Individual

CHRISTOPHER PAUL D'ANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
93 KENSINGTON BLVD. UNIT #2, PLEASANT RIDGE, MI 48069
(734) 223-8010
Mailing address
93 KENSINGTON BLVD UNIT 2, PLEASANT RIDGE, MI 48069-1220
(734) 223-8010

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101018412
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5101018412
STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
MI
01
5315041798
STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
MI
Enumeration date
08/19/2009
Last updated
06/20/2012
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