# ALPHA PHYSICIANS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023290780
- **Authorized official:** MR. TIM CHARLES DESANO (ADMINISTRATOR)
- **Authorized official phone:** (734) 250-7377

## Contact information

- **Practice address:** 30808 ISLAND DR, GIBRALTAR, MI 48173-9547
- **Practice address phone:** (734) 250-7377
- **Practice address fax:** (734) 284-6889
- **Mailing address:** 30808 ISLAND DR, GIBRALTAR, MI 48173-9547
- **Mailing address phone:** (734) 250-7377
- **Mailing address fax:** (734) 284-6889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | MI | Yes |

## Other

- **Enumeration date:** 12/04/2007
- **Last updated:** 07/21/2022