Individual
MS. ANGELA BELIN THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1201 S MAIN ST, CROWN POINT, IN 46307-8481
(219) 738-2100
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004898A
IN
208M00000X
Hospitalist Physician
Primary
02004898A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201373480
—
IN
Enumeration date
03/01/2013
Last updated
03/12/2021
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