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NPI Code Detail

MEDICARE: MRS. ANGELA DAWN STOIAN D.O.

MEDICARE: MRS. ANGELA DAWN STOIAN D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician5101016114MI

General Provider Information

NPI Number : 1396946380
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA DAWN STOIAN D.O.
Provider Business Mailing Address
First Line : 3127 FOREST RD
Second Line : APT 101
City : LANSING
State : MI
Zip : 48910-3851
Country : US
Telephone Number : 517-862-0978
Fax Number :
Provider Business Practice Location Address
First Line : 901 E MOUNT HOPE AVE
Second Line :
City : LANSING
State : MI
Zip : 48910-3207
Country : US
Telephone Number : 517-372-9175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2007
Last Update Date : 08/26/2010

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