Individual
DR. TASHA ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
945 N. 12TH STREET, MILWAUKEE, WI 53233-1305
(414) 219-5725
Mailing address
8905 W. WATERFORD SQ. N., GREENFIELD, WI 53228-2261
(718) 614-7273
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
05/05/2021
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