Individual
ALEXANDER MARINICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6071 W OUTER DR STE 121, DETROIT, MI 48235-2624
(313) 966-3222
Mailing address
1698 BANBURY ST, BIRMINGHAM, MI 48009-7159
(734) 383-5182
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101027038
MI
2086S0102X
Surgical Critical Care Physician
5101027038
MI
2086S0127X
Trauma Surgery Physician
Primary
5101027038
MI
Other
Enumeration date
02/25/2015
Last updated
08/09/2022
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