Individual
DR. ALEX S BLAIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E LIBERTY ST, STE 23, ANN ARBOR, MI 48104-2118
(734) 997-9729
(734) 997-9739
Mailing address
505 E HURON ST, APT 503, ANN ARBOR, MI 48104-1573
(734) 769-1475
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301406730
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2608221962
BCBS
MI
05
—
2617799
—
MI
01
—
4301406730
MI LICENSE
MI
Enumeration date
04/26/2007
Last updated
03/07/2023
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