Individual
ALEXANDER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1015 S WASHINGTON AVE STE E, SAGINAW, MI 48601
(989) 907-7636
(989) 907-7584
Mailing address
PO BOX 779, TAWAS CITY, MI 48764-0779
(989) 362-9411
(989) 362-9925
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MA0951764
MI
363A00000X
Physician Assistant
Primary
5601003038
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601003038
MI LICENSE
MI
Enumeration date
05/23/2006
Last updated
03/29/2021
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