Individual
DR. ALEJANDRA MARIA ESCOBAR VASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BARCLAY AVE NE STE 300, GRAND RAPIDS, MI 49503-2527
(616) 391-8810
(616) 391-8897
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301116105
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
75236-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770062630
—
WI
Enumeration date
08/11/2018
Last updated
08/13/2024
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