Individual
ANGELINA BAUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 LASALLE RD, MONROE, MI 48162-9295
(734) 344-7225
Mailing address
2121 LASALLE RD, MONROE, MI 48162-9295
(734) 344-7225
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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