Individual
MS. ANGELA JUANITA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2353 MADISON STREET, GARY, IN 46407
(219) 885-1608
(219) 885-1608
Mailing address
2353 MADISON STREET, GARY, IN 46407
(219) 885-1608
(219) 885-1608
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01037923A
IN
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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