Individual
MR. PAUL DOUGLAS SANTANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-4102
Mailing address
16835 FULTON PINES CT, LIVONIA, MI 48154-6400
(734) 525-6991
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601001106
MI
Other
Enumeration date
06/18/2007
Last updated
07/03/2015
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