Kueck, Angela S
Kueck, Angela S is an individual health care provider with primary practice located at Trinity Health Iha Medical Group Gynecology Oncology 5303 Elliot Drive Suite 220, Ypsilanti MI 48197-8632. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Kueck, Angela S can be contacted via phone (734) 712-2005.Contact Information
Primary practice address
Trinity Health Iha Medical Group Gynecology Oncology 5303 Elliot Drive Suite 220
Ypsilanti MI 48197-8632
Phone: (734) 712-2005
Fax: (734) 712-2013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 049418 | Connecticut |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | Q7907 | Texas |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 4301081158 | Michigan |
Profile Details
| NPI number | 1427016989 |
|---|---|
| LBN Legal business name | Kueck, Angela S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jan 4th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427016989 | NPPES |
| Connecticut | MEDICAID | 1427016989 | |
| Connecticut | MEDICAID | 357012902 | |
| Connecticut | MEDICAID | 357012901 |
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