Individual
ALEXANDER FOSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2013 EASTCASTLE DR SE STE B, GRAND RAPIDS, MI 49508-8873
(616) 888-1120
Mailing address
321 PAGE ST NE, GRAND RAPIDS, MI 49505-5068
(616) 340-3989
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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