Provider Demographics
NPI:1497984041
Name:GREGORY, ANGELA KRISTEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:KRISTEN
Last Name:GREGORY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:KRISTEN
Other - Last Name:GRACEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1447 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4727
Mailing Address - Country:US
Mailing Address - Phone:989-583-0000
Mailing Address - Fax:
Practice Address - Street 1:900 COOPER AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5182
Practice Address - Country:US
Practice Address - Phone:989-583-6521
Practice Address - Fax:989-583-6566
Is Sole Proprietor?:No
Enumeration Date:2009-07-03
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301094353207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine