Organization
R L ALEXANDER, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEWIS ALEXANDER MD (MEDICAL DOCTOR)
(616) 291-9288
Entity
Organization
Contact information
Practice address
233 FULTON ST E, STE 114A, GRAND RAPIDS, MI 49503-3200
(616) 742-1223
(616) 742-1228
Mailing address
233 FULTON ST E, STE 114A, GRAND RAPIDS, MI 49503-3200
(616) 742-1223
(616) 742-1228
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RA044385
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1604107781
BLUE CROSS BLUE SHIELD
MI
05
—
4274012
—
MI
Enumeration date
11/29/2006
Last updated
08/22/2020
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