Provider Demographics
NPI:1386388445
Name:ANGIEL, JOHN (DO)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:ANGIEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:102 N ADELAIDE ST STE B
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-2663
Mailing Address - Country:US
Mailing Address - Phone:810-629-9461
Mailing Address - Fax:810-593-1029
Practice Address - Street 1:102 N ADELAIDE ST STE B
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-2663
Practice Address - Country:US
Practice Address - Phone:810-629-9461
Practice Address - Fax:810-593-1029
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2025-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101028911207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine