Individual provider · NPI-1
Jeffrey Alexander
Perfusionist · Plymouth, MI
NPI number1093529208
StatusActive
Last updated in NPPESFeb 6, 2025
Details
- NPI
- 1093529208
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Alexander
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2025
- Certification date
- Feb 6, 2025
- Last updated
- Feb 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 242T00000X | Perfusionist | – | – | Yes |
Practice location
45211 Helm StPlymouth, MI 48170-6023
Phone 734-525-9712
Mailing address
45211 Helm StPlymouth, MI 48170-6023
Is something wrong?
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