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Individual

HEIDI LYNN ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
711 S HEALTH PKWY, SUITE 4, THREE RIVERS, MI 49093-9387
(269) 278-1265
(269) 273-2454
Mailing address
701 S HEALTH PKWY, MEDICAL STAFF OFFICE, THREE RIVERS, MI 49093-8352
(269) 273-9789
(269) 273-9611

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003543
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700G560080
BCBS
MI
Enumeration date
11/14/2005
Last updated
10/30/2008
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