Healthcare Provider Details

I. General information

NPI: 1215869946
Provider Name (Legal Business Name): ANGELA MARIE SASAKI COLE MEDICAL STUDENT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA MARIE PANZICA

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1632 STONE ST
SAGINAW MI
48602
US

IV. Provider business mailing address

6198 WINTERBERRY AVE SW UNIT 3208
WYOMING MI
49418-9544
US

V. Phone/Fax

Practice location:
  • Phone: 989-746-7500
  • Fax:
Mailing address:
  • Phone: 947-336-0247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: