Individual
ROBERT LEWIS ALEXANDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 LAFAYETTE AVE SE, SUITE 405, GRAND RAPIDS, MI 49503-4693
(616) 291-9288
(616) 742-1228
Mailing address
310 LAFAYETTE AVE SE, SUITE 405, GRAND RAPIDS, MI 49503-4693
(616) 291-9288
(616) 742-1228
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301044385
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1604107781
BC/BS PIN#
MI
Enumeration date
06/13/2006
Last updated
07/09/2007
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