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NPI Code Detail

MEDICARE: DR. ANGELA STOUTENBURG-ALAOUIE DPM

MEDICARE:  DR. ANGELA  STOUTENBURG-ALAOUIE  DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist5901002214MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1480F364810OTHERMIBCBSM
2480Q245670OTHERMIBCBSM

General Provider Information

NPI Number : 1316155526
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA STOUTENBURG-ALAOUIE DPM
Provider Business Mailing Address
First Line : 1117 S VAN DYKE RD
Second Line : SUITE 400
City : BAD AXE
State : MI
Zip : 48413-8467
Country : US
Telephone Number : 989-269-6170
Fax Number : 989-269-7354
Provider Business Practice Location Address
First Line : 1117 S VAN DYKE RD
Second Line : SUITE 400
City : BAD AXE
State : MI
Zip : 48413-8467
Country : US
Telephone Number : 989-269-6170
Fax Number : 989-269-7354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2007
Last Update Date : 12/16/2013

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Directions to “ DR. ANGELA STOUTENBURG-ALAOUIE DPM” Practice Location

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