Individual
ALEXANDRA CHERNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6236 WILKEN DR SE, CALEDONIA, MI 49316-9283
(989) 413-7146
Mailing address
6236 WILKEN DR SE, CALEDONIA, MI 49316-9283
(989) 413-7146
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
C650044205704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3433
BLUE CROSS BLUE SHEILD
MI
Enumeration date
05/17/2021
Last updated
05/17/2021
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