Individual
ALEXIS NEUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3930 BURTON ST SE, GRAND RAPIDS, MI 49546-5819
(616) 956-9183
Mailing address
3930 BURTON ST SE, GRAND RAPIDS, MI 49546-5819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020775
MI
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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