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Individual

ANGIE R SWEENEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
26850 PROVIDENCE PKWY, SUITE 375, NOVI, MI 48374-1213
(248) 662-4200
(248) 662-0368
Mailing address
26850 PROVIDENCE PKWY, SUITE 375, NOVI, MI 48374-1213
(248) 662-4200
(248) 662-0368

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301070456
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4895614
MI
01
H26505
HEALTH ALLIANCE PLAN
MI
Enumeration date
10/21/2005
Last updated
08/05/2011
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