Individual
DR. CESAR V ALCID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9756
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9756
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301055773
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0251175
BCBS PIN
MI
01
—
055773CA
BSBS PROVIDER LICENSE
MI
05
—
4590237
—
MI
01
—
P00136823
RAILROAD MEDICARE
MI
Enumeration date
03/14/2006
Last updated
07/03/2014
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