Individual
ALICE MENDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36622 FIVE MILE RD STE 101, LIVONIA, MI 48154-1900
(734) 542-0200
(734) 542-0220
Mailing address
36622 FIVE MILE RD STE 101, LIVONIA, MI 48154-1900
(734) 542-0200
(734) 542-0220
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301074428
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200E011770
BCBS GROUP NUMBER
MI
05
—
4639122
—
MI
Enumeration date
10/24/2005
Last updated
07/10/2024
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