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NPI Code Detail

MEDICARE: DR. RUSSELL TOD ALEXANDER M.D.

MEDICARE:  DR. RUSSELL TOD ALEXANDER  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
1207ZF0201XForensic Pathology Physician48087-020WI

General Provider Information

NPI Number : 1588711360
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUSSELL TOD ALEXANDER M.D.
Provider Business Mailing Address
First Line : 933 W HIGHLAND AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1445
Country : US
Telephone Number : 414-223-1214
Fax Number : 414-223-1237
Provider Business Practice Location Address
First Line : 933 W HIGHLAND AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1445
Country : US
Telephone Number : 414-223-1214
Fax Number : 414-223-1237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 07/08/2007

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Directions to “ DR. RUSSELL TOD ALEXANDER M.D.” Practice Location

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