Individual
DR. ALEXA MAGSOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
300 68TH ST SE 300 68TH ST SE, GRAND RAPIDS, MI 49548
(616) 456-0857
Mailing address
300 68TH ST SE 300 68TH ST SE, GRAND RAPIDS, MI 49548
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5151016041
MI
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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