Provider Demographics
NPI:1609810530
Name:FLEMING, ANGELA CHRISTINE (DO)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:CHRISTINE
Last Name:FLEMING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:CHRISTINE
Other - Last Name:ZANOTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:39475 LEWIS DR STE 270
Mailing Address - Street 2:C/O ESSENTIAL GYNECOLOGY & OBSTETRICS
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2904
Mailing Address - Country:US
Mailing Address - Phone:248-324-9024
Mailing Address - Fax:248-324-9025
Practice Address - Street 1:39475 LEWIS DR STE 270
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2904
Practice Address - Country:US
Practice Address - Phone:248-324-9024
Practice Address - Fax:248-324-9025
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101015021207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI141600OtherCARE CHOICES
MI1656313565OtherBLUE CROSS
MI17297OtherMCARE
MI4863129Medicaid
MI4792457Medicaid
MI7334714OtherAETNA
MI17297OtherMCARE
MI141600OtherCARE CHOICES