Individual provider · NPI-1

Dr. Alexis Whitney Buffington, DO

Dermatology · Dearborn, MI

NPI number1407389406
StatusActive
Last updated in NPPESJun 12, 2019

Details

NPI
1407389406
Entity type
Individual (NPI-1)
Name
Dr. Alexis Whitney Buffington
Credential
DO
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 6, 2017
Last updated
Jun 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology5151013520MIYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

18101 Oakwood Blvd
Dearborn, MI 48124-4089

Phone 313-436-2581

Mailing address

18101 Oakwood Blvd
Dearborn, MI 48124-4089

Phone 313-436-2581

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