Organization
LEQUISHIA ALEXANDER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEQUISHIA ALEXANDER MD (OWNER)
(313) 712-1177
Entity
Organization
Contact information
Practice address
2366 JOHN R RD APT 205, TROY, MI 48083-2573
(248) 234-8690
(248) 234-8777
Mailing address
2844 LIVERNOIS RD UNIT 99153, TROY, MI 48099-7423
(313) 712-1177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301090603
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164621884
—
MI
Enumeration date
05/24/2016
Last updated
06/03/2016
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