Healthcare Provider Details

I. General information

NPI: 1629711916
Provider Name (Legal Business Name): ALEX SAUNDERS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29275 W 10 MILE RD
FARMINGTON HILLS MI
48336-2817
US

IV. Provider business mailing address

29275 W 10 MILE RD
FARMINGTON HILLS MI
48336-2817
US

V. Phone/Fax

Practice location:
  • Phone: 248-350-2722
  • Fax: 248-350-0154
Mailing address:
  • Phone: 248-350-2722
  • Fax: 248-350-0154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number5151015513
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number5151015513
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: