Provider Demographics
NPI:1689163073
Name:ANGERS, DEANNA (DO)
Entity Type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:
Last Name:ANGERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:
Other - Last Name:ZERAFA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:560 W MITCHELL ST STE 210
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-2276
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:560 W MITCHELL ST STE 210
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-2276
Practice Address - Country:US
Practice Address - Phone:231-487-2340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2022-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI390200000X
MI1689163073207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program