Individual
ALEXA NIERMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
712 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3279
(847) 362-1848
Mailing address
712 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3279
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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