Individual
ALEXANDRA ELLEN RAKLOVITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(269) 369-3116
Mailing address
34616 PINETREE ST, LIVONIA, MI 48150-2653
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704330944
MI
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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