Doctor Name: | DR. ANGELA STOUTENBURG-ALAOUIE |
NPI Number: | 1316155526 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 5901002214 |
Business Practice Address: | 1117 S Van Dyke Rd Suite 400 Bad Axe, MI - 484138467 |
Business Phone Number: | 9892696170 |
Business Fax Number: | 9892697354 |
Mailing Address: | 1117 S Van Dyke Rd, Suite 400 BAD AXE |
State: | MI |
Postal Code: | 484138467 |
Phone Number: | 9892696170 |
Fax Number: | 9892697354 |
NPI Enumeration Date: | 05/19/2007 |
NPI Last Update Date: | 12/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 5901002214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |