Healthcare Provider Details

I. General information

NPI: 1740407402
Provider Name (Legal Business Name): AARON BENJAMIN ALPER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5450 FORT ST
TRENTON MI
48183-4601
US

IV. Provider business mailing address

822 HENRIETTA ST
BIRMINGHAM MI
48009-4115
US

V. Phone/Fax

Practice location:
  • Phone: 734-671-3881
  • Fax:
Mailing address:
  • Phone: 954-547-0562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number5101016634
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: