ANGELO S ANTARAN PA

HENRY FORD HEALTH SYSTEM

Dr ANGELO S ANTARAN PA is a male medical professional, specializing in Physician Assistant. He graduated in 2000.

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HENRY FORD HEALTH SYSTEM

19401 HUBBARD DR
DEARBORN
MI
481262641

Tel: 3139828100

ANGELO S ANTARAN PA Information

Npi 1932106481
Pac Id 6800838210
Professional Enrollment Id I20050525001138
Last Name ANTARAN
First Name ANGELO
Middle Name S
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 2000
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HENRY FORD HEALTH SYSTEM
Group Practice Pac Id 0547178311
Number Of Group Practice Members 1770
Line 1 Street Address 19401 HUBBARD DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DEARBORN
State MI
Zip Code 481262641
Phone Number 3139828100
Hospital Affiliation Ccn 1 230302
Hospital Affiliation Lbn 1 HENRY FORD WEST BLOOMFIELD HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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