Individual
ALEXANDRA BERICHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
153 WAMPLERS LAKE RD, BROOKLYN, MI 49230-9585
(517) 205-2105
Mailing address
182 HOLIDAY DR, BROOKLYN, MI 49230-9743
(517) 945-8298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008849
MI
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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