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Individual

DR. JOSEPH D SANTANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 876-6519
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 876-6519

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35077321
OH
208000000X
Pediatrics Physician
Primary
4301095482
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000214938
ANTHEM BC/BS
OH
01
1203915
UNITED HEALTHCARE
OH
01
2762343
AETNA
OH
01
77321
HUMANA
OH
Enumeration date
02/10/2006
Last updated
06/30/2011
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