Provider Demographics
NPI:1932335874
Name:PALAGANAS, ANN MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:ANN MARIE
Middle Name:
Last Name:PALAGANAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:30229 SCHOENHERR RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-6858
Mailing Address - Country:US
Mailing Address - Phone:586-751-1177
Mailing Address - Fax:586-751-1180
Practice Address - Street 1:30229 SCHOENHERR RD
Practice Address - Street 2:SUITE 300
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-6858
Practice Address - Country:US
Practice Address - Phone:586-751-1177
Practice Address - Fax:586-751-1180
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2013-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101018214207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine