Individual
DR. ANGEL CHUDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 953-7000
Mailing address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3354
(734) 632-0175
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101014519
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158211355
BCBS
MI
05
—
11-4614992
—
MI
05
—
11-4615004
—
MI
05
—
11-4615013
—
MI
05
—
11-4615022
—
MI
05
—
11-4615031
—
MI
Enumeration date
01/04/2006
Last updated
07/09/2007
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