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Individual

ALEXA POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
130 TOWN CENTER DR STE 101, TROY, MI 48084-1744
(248) 740-0670
(248) 740-0668
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(867) 714-8205
(586) 771-7960

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704308603
MI

Other

Enumeration date
03/07/2019
Last updated
01/24/2023
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