Individual
ALEXANDRIA JACLYN REDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 UNION LAKE RD, COMMERCE TOWNSHIP, MI 48382-3557
(248) 560-7555
Mailing address
2615 UNION LAKE RD, COMMERCE TOWNSHIP, MI 48382-3557
(248) 560-7555
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601010071
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601010071
LARA
MI
Enumeration date
10/15/2020
Last updated
02/13/2025
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