Angela Desantis, M.D.
Internal Medicine in Wyandotte, MI. Individual provider (NPI-1).
NPI number1881704682
StatusActive
Last updated in NPPESFeb 13, 2014
Details
- NPI
- 1881704682
- Entity type
- Individual (NPI-1)
- Name
- Angela Desantis
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Feb 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 4301052721 | MI | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 4301052721 | MI |
Practice location
1700 Biddle AveWyandotte, MI 48192-7205
Phone 734-284-2026 · Fax 734-284-8335
Mailing address
3200 Greenfield RdSuite 250
Dearborn, MI 48120-1802
Phone 313-563-3332 · Fax 313-563-3342
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