Dr. Gina Charlene Ang
Dermatologist MOHS-Micrographic Surgeon
4285 Parkway Pl Sw
Grandville
, Michigan 49418-2385
Dr. Gina Charlene Ang
Dermatologist MOHS-Micrographic Surgeon
4285 Parkway Pl Sw
Grandville
, Michigan 49418-2385
(616) 257-1491
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gina Charlene Ang
- 3434 Rivertown Point Ct Sw
- Grandville, MI
- Zip : 49418-3076
- Fax : (616) 257-1491
- Phone : (616) 257-3344
Second Address
- Dr. Gina Charlene Ang
- 4285 Parkway Pl Sw
- Grandville, MI
- Zip : 49418-2385
- Fax : (616) 257-1491
- Phone : (616) 257-3344
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Is Dr. Gina Charlene Ang a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 5601093226 | MI |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 5601093226 | MI |
National Provider Identifier
| NPI | 1396853966 |
|---|---|
| Provider Name | Dr. Gina Charlene Ang |
| First Address | Grandville, MI 49418-3076 |
| Second Address | Grandville, MI 49418-2385 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2006 |
| Last Update Date | 25/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 070D16223 | BCBS OF MICHIGAN (01) | MI |
| 0D16223 | MEDICARE GROUP (01) | MI |
| CI2832 | MEDICARE RAILROAD GROUP (01) | MI |
| I59381 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.