Provider Demographics
NPI:1568269843
Name:DINGMAN, ANGEL L
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:L
Last Name:DINGMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:CARLETON
Mailing Address - State:MI
Mailing Address - Zip Code:48117-9113
Mailing Address - Country:US
Mailing Address - Phone:734-799-6366
Mailing Address - Fax:
Practice Address - Street 1:660 WALNUT ST
Practice Address - Street 2:
Practice Address - City:CARLETON
Practice Address - State:MI
Practice Address - Zip Code:48117-9113
Practice Address - Country:US
Practice Address - Phone:734-799-6366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X
MI802451575253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care