Individual
DWAYLON ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33200 SCHOOLCRAFT RD, STE. 107, LIVONIA, MI 48150-1643
(313) 516-4545
Mailing address
33200 SCHOOLCRAFT RD, LIVONIA, MI 48150-1643
(313) 516-4545
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
172A00000X
MI
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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