Provider Demographics
NPI:1518102334
Name:ANGELA D. HAMLIN DO P.C.
Entity Type:Organization
Organization Name:ANGELA D. HAMLIN DO P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:HAMLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-720-0277
Mailing Address - Street 1:306 TOWN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-1742
Mailing Address - Country:US
Mailing Address - Phone:248-720-0277
Mailing Address - Fax:248-720-0276
Practice Address - Street 1:306 TOWN CENTER DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-1742
Practice Address - Country:US
Practice Address - Phone:248-720-0277
Practice Address - Fax:248-720-0276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101011279207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP04270Medicare PIN
MIF81593Medicare UPIN