person
Angelo So Antaran, PA
Surgical Physician Assistant in Ypsilanti, Michigan
NPI 1932106481

Angelo So Antaran is a Surgical Physician Assistant based in Ypsilanti, MI and is specialized in Surgical. Angelo So Antaran practices in Ypsilanti, MI and has the professional credentials of PA. The NPI Number for Angelo So Antaran is 1932106481 and holds a License No. 5601003519 (Michigan).

The current practice location address for Angelo So Antaran is 5301 E Huron River Dr, Ypsilanti, MI and can be reached out via phone at 734-712-5609 and via fax at 734-712-5797. You can also correspond with Angelo So Antaran through the mailing address at 5301 E HURON RIVER DR, YPSILANTI, MI - 48197-1051 (mailing address contact number: 734-712-5609).

Location: 5301 E Huron River Dr, Ypsilanti, MI, 48197-1051
person
Provider Profile Details
NPI Number
1932106481
Provider Name
Angelo So Antaran
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5301 E Huron River Dr, Ypsilanti, MI, 48197-1051
Phone Number
734-712-5609
Fax Number
734-712-5797
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5301 E Huron River Dr
City
State
Zip
48197-1051
Phone Number
734-712-5609
Fax Number
734-712-5797
person
Provider Business Mailing Address Details
Address
5301 E Huron River Dr
City
State
Zip
48197-1051
Phone Number
734-712-5609
Fax Number
734-712-5797
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5601003519 (Michigan)
Definition
Definition to come...
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