Provider Demographics
NPI:1780893867
Name:FERRELL, ANGELA MARIE FROST (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MARIE FROST
Last Name:FERRELL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1979 HURON PKWY
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4141
Mailing Address - Country:US
Mailing Address - Phone:734-344-4567
Mailing Address - Fax:734-669-1104
Practice Address - Street 1:49200 WIXOM TECH DR
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-3560
Practice Address - Country:US
Practice Address - Phone:734-344-4567
Practice Address - Fax:734-669-1104
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2022-05-04
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301087997207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology