# ALPHA & OMEGA MC LLC

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

## Provider details

- **NPI number:** 1619166436
- **Authorized official:** MRS. KARINA E HERNANDEZ (MANAGING MEMBER)
- **Authorized official phone:** (313) 772-0406

## Contact information

- **Practice address:** 28807 8 MILE RD, SUITE 102, LIVONIA, MI 48152-2078
- **Practice address phone:** (313) 772-0406
- **Mailing address:** 28807 8 MILE RD, SUITE 102, LIVONIA, MI 48152-2078
- **Mailing address phone:** (313) 772-0406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 10/17/2007