Individual
DR. MARK SALVATORE DANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1345 E PARKDALE AVE, MANISTEE, MI 49660-9318
(231) 398-1750
(231) 398-1736
Mailing address
1293 E PARKDALE AVE STE L100, MANISTEE, MI 49660-8904
(231) 398-1750
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0102203641
VA
207X00000X
Orthopaedic Surgery Physician
Primary
5101022024
MI
Other
Enumeration date
08/31/2009
Last updated
09/01/2023
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