Ang, Gina Charlene

Ang, Gina Charlene is an individual health care provider with primary practice located at 3434 Rivertown Point Ct Sw , Grandville MI 49418-3076. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Ang, Gina Charlene can be contacted via phone (616) 257-3344.

Contact Information

Primary practice address
3434 Rivertown Point Ct Sw Grandville MI 49418-3076
Fax: (616) 257-1491
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5601093226 Michigan
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 5601093226 Michigan

Profile Details

NPI number 1396853966
LBN Legal business name Ang, Gina Charlene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Apr 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396853966 NPPES
Michigan Other 0D16223 MEDICARE GROUP
Michigan Other 070D16223 MEDICARE GROUP
Michigan Other CI2832 MEDICARE GROUP

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