MEDICARE: ALEXIS TRIBFELNER PA-C

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	363A00000X	Physician Assistant	5601010994	MI

General Provider Information

NPI Number	:	1821732934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS TRIBFELNER PA-C

Provider Business Mailing Address
First Line	:	1447 N HARRISON ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-4727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 COOPER AVE
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-5182
Country	:	US
Telephone Number	:	989-583-6521
Fax Number	:

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

Provider Enumeration Date	:	04/25/2022
Last Update Date	:	04/07/2026

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