Angela Marie Merso
Individual provider Active NPI Other Technician · Pinconning, MI
NPI 1144779240 · NPPES record last updated Sep 29, 2016
Key facts
- NPI
- 1144779240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 4154 N Mackinaw Rd
Pinconning, MI 48650-8435 - Phone
- (989) 907-1705
- NPI assigned
- Sep 29, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
4154 N Mackinaw Rd
Pinconning, MI 48650-8435
Mailing address
4154 N Mackinaw Rd
Pinconning, MI 48650-8435
Phone (989) 907-1705
Other names
- Angela Marie Williams
Other providers in Pinconning, MI
- David Donald Idzior
- Susan Kay Kruzell
- Raymond A Lalonde
- Mariah Jean Largent
- Mikayla R Merithew
- Rhonda Renee Mesecar
- Carissa Meyers
- Christy Sue Morand
- Tammy Marie Neely
- Northern Bay Ambulance and Rescue Service of Michigan
All providers in Pinconning, MI · Other Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.