Individual
DR. MICHAEL M ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3219 SULLIVANT AVE, COLUMBUS, OH 43204-1886
(614) 272-5244
(614) 272-9841
Mailing address
3219 SULLIVANT AVE, COLUMBUS, OH 43204-1886
(614) 272-5244
(614) 272-9841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004400A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119181
BLUE CROSS BLUE SHIELD
OH
05
—
0714909
—
OH
Enumeration date
05/13/2006
Last updated
07/08/2007
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