Individual
ALEXA LAINE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
911 E 9 MILE RD, FERNDALE, MI 48220-1934
(248) 336-4000
(248) 336-9137
Mailing address
507 N 17TH STREET, MILWAUKEE, WI 53233
(414) 288-0607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
09/27/2025
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