Organization
ANGELA BADRA DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BADRA DO (OWNER)
(989) 723-0046
Entity
Organization
Contact information
Practice address
204 W EXCHANGE ST, OWOSSO, MI 48867-2818
(989) 723-0046
(989) 723-0052
Mailing address
204 W EXCHANGE ST, OWOSSO, MI 48867-2818
(989) 723-0046
(989) 723-0052
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101012489
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00209171
RAILROAD MEDICARE
MI
Enumeration date
05/25/2007
Last updated
11/09/2007
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