Healthcare Provider Details

I. General information

NPI: 1144468034
Provider Name (Legal Business Name): ALEXANDER C BATCHEV DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2009
Last Update Date: 02/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 FORT ST SUITE 130
TRENTON MI
48183-4632
US

IV. Provider business mailing address

5400 FORT ST SUITE 130
TRENTON MI
48183-4632
US

V. Phone/Fax

Practice location:
  • Phone: 734-362-1200
  • Fax: 734-362-1203
Mailing address:
  • Phone: 734-362-1200
  • Fax: 734-362-1203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5101012210
License Number StateMI

VIII. Authorized Official

Name: MRS. DAWN SCHMOEKEL
Title or Position: OFFICE MANAGER
Credential:
Phone: 734-362-1200