Organization
THERESA M. ALEXANDER MD LLC
Active
Other names
Center for Family Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA MARIE ALEXANDER MD (OWNER)
(574) 772-5505
Entity
Organization
Contact information
Practice address
1006 S EDGEWOOD DR, KNOX, IN 46534-8226
(574) 772-5505
(574) 772-6151
Mailing address
1006 S EDGEWOOD DR, KNOX, IN 46534-8226
(574) 772-5505
(574) 772-6151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045409A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000105391
ANTHEM BLUE CROSS GROUP
IN
05
—
200441390A
—
IN
01
—
CG1710
RAIL ROAD MEDICARE GROUP
IN
Enumeration date
06/26/2007
Last updated
04/01/2014
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