Individual
DR. ALEXANDRA MARIE MENILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
25 MICHIGAN ST NE STE 4200, GRAND RAPIDS, MI 49503-2559
(616) 267-9150
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101026148
MI
2080P0202X
Pediatric Cardiology Physician
Primary
5101026148
MI
Other
Enumeration date
04/07/2017
Last updated
12/01/2025
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