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NPI Code Detail

MEDICARE: ALEXANDER BIERUT PA-C

MEDICARE:   ALEXANDER  BIERUT  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
1363A00000XPhysician Assistant50.006881OH

General Provider Information

NPI Number : 1891387544
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER BIERUT PA-C
Provider Business Mailing Address
First Line : 1852 MERGANSER RUN DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-7017
Country : US
Telephone Number : 216-299-1784
Fax Number :
Provider Business Practice Location Address
First Line : 1852 MERGANSER RUN DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-7017
Country : US
Telephone Number : 216-299-1784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2021
Last Update Date : 02/04/2021

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Directions to “ ALEXANDER BIERUT PA-C” Practice Location

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