Individual
DR. ANGELA RENEE ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1974 N HURON RIVER DRIVE, YPSILANTI, MI 48197
(734) 615-0788
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT195462
PA
207W00000X
Ophthalmology Physician
Primary
4301102842
MI
207W00000X
Ophthalmology Physician
MT195462
PA
207W00000X
Ophthalmology Physician
RS2013-0036
NM
Other
Enumeration date
06/29/2009
Last updated
08/26/2015
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