Provider Demographics
NPI:1902635840
Name:DANOWSKI, ANGELYN (PA-C)
Entity type:Individual
Prefix:
First Name:ANGELYN
Middle Name:
Last Name:DANOWSKI
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2711 W WACKERLY ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6922
Mailing Address - Country:US
Mailing Address - Phone:989-837-6868
Mailing Address - Fax:989-837-6837
Practice Address - Street 1:2711 W WACKERLY ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6922
Practice Address - Country:US
Practice Address - Phone:989-837-6868
Practice Address - Fax:989-837-6837
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-11-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant