Provider Demographics
NPI:1093805327
Name:MESSINA, ANGELA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:MESSINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39200 GARFIELD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-4095
Mailing Address - Country:US
Mailing Address - Phone:586-286-6060
Mailing Address - Fax:586-286-5055
Practice Address - Street 1:39200 GARFIELD RD
Practice Address - Street 2:SUITE B
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-4095
Practice Address - Country:US
Practice Address - Phone:586-286-6060
Practice Address - Fax:586-286-5055
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAM070684207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1750415915OtherPRACTICE NPI
MI1992895221OtherPRACTICE NPI
MIAM070684OtherBCBS