| Dr Angela C Griffin, MD | |
|
1600 W Grand River Ave, Suite 1, Okemos, MI 48864-2394 | |
| (517) 381-6870 | |
| (517) 381-6871 |
| Full Name | Dr Angela C Griffin |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 1600 W Grand River Ave, Okemos, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245321322 | NPI | - | NPPES |
| 4309154 | Medicaid | MI | |
| 4457738 | Medicaid | MI | |
| 1603306482 | Other | MI | BCBS INDIVIDUAL PIN |
| 4309163 | Medicaid | MI | |
| 200000002045 | Other | MI | PHP PIN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 4301077613 (Michigan) | Primary |
| Entity Name | Sparrow Ionia Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700820065 PECOS PAC ID: 0042118887 Enrollment ID: O20031230000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angela C Griffin, MD Po Box 13008, Lansing, MI 48901-3008 Ph: (517) 364-6253 | Dr Angela C Griffin, MD 1600 W Grand River Ave, Suite 1, Okemos, MI 48864-2394 Ph: (517) 381-6870 |
Cassandra Wormack, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2205 Jolly Rd, Ste. B, Okemos, MI 48864 Phone: 517-347-4085 Fax: 517-347-4170 | |
Sandra K Russell, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2104 Jolly Rd, Suite 220, Okemos, MI 48864 Phone: 517-975-1400 Fax: 517-975-1405 | |
Dr. Sung G Lee, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4129 Okemos Rd, Suite 7, Okemos, MI 48864 Phone: 517-351-1766 Fax: 517-351-3115 | |
Thomas Petroff, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2445 Jolly Rd, Suite 100, Okemos, MI 48864 Phone: 517-347-4040 Fax: 517-347-4109 |