Individual
ALEXANDER STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-3135
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-3135
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
036096343
IL
207RX0202X
Medical Oncology Physician
Primary
69155-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096343
—
IL
01
—
830007503
MEDICARE RR CARRIER
IL
Enumeration date
05/31/2006
Last updated
10/11/2022
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