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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEANGELO WEBSTER, PA-C

Active

DEANGELO WEBSTER, PA-C is a Surgical Physician Assistant healthcare provider located in WYANDOTTE, Michigan. NPI 1598787079 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · WYANDOTTE, MI

Registration Details

NPI Number
1598787079
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2006 (20.041073381827 yrs)
Last Updated
Apr 17, 2019
Licenses
5601002997 (MI)
5601002997 (MI)

Practice Information

Address
375 EUREKA RD STE B
WYANDOTTE, MI, 48192
Browse MI providers · Browse ZIP 48192
Phone
7342259300
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.