MEDICARE: DR. ALEXANDRA MARIA SOLANO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	5379620	WI
2	207Q00000X	Family Medicine Physician	002488	GA
3	207Q00000X	Family Medicine Physician	53796-20	WI

General Provider Information

NPI Number	:	1528268307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDRA MARIA SOLANO M.D.

Provider Business Mailing Address
First Line	:	9245 N REGENT RD
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-1365
Country	:	US
Telephone Number	:	404-271-2236
Fax Number	:

Provider Business Practice Location Address
First Line	:	2332 N FARWELL AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53211-4401
Country	:	US
Telephone Number	:	404-271-2236
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	05/19/2020

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