Individual
ALEX TANDON OCKERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-1451
(616) 617-7974
Mailing address
2649 E 130TH ST, CLEVELAND, OH 44120-1451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006746RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2019
Last updated
12/11/2020
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