Desantis, Angela

Desantis, Angela is an individual health care provider with primary practice located at 1700 Biddle Ave , Wyandotte MI 48192-7205. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Desantis, Angela can be contacted via phone (734) 284-2026.

Contact Information

Primary practice address
1700 Biddle Ave Wyandotte MI 48192-7205
Phone: (734) 284-2026
Fax: (734) 284-8335
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4301052721 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301052721 Michigan

Profile Details

NPI number 1881704682
LBN Legal business name Desantis, Angela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 13th, 2014 - about 10 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 1881704682 NPPES
Michigan MEDICAID 297792310
Michigan Other 110H211300

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