Individual
DR. THERESA M ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
05
—
200118110
—
IN
05
—
200441390A
—
IN
Enumeration date
12/16/2005
Last updated
12/06/2011
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