Individual
MR. ALEXANDER HAMEAD BOGHERIE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
405 N WASHINGTON AVE, ROYAL OAK, MI 48067-1754
(248) 345-7338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9499089
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
4704271464
MI
Other
Enumeration date
10/25/2020
Last updated
07/21/2023
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