Individual
ALEXANDER MARC VASQUEZ-CARIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP C, ANN ARBOR, MI 48109-5644
(734) 647-7321
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005186
MI
363AM0700X
Medical Physician Assistant
5601005186
MI
Other
Enumeration date
05/08/2008
Last updated
12/10/2008
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