Healthcare Provider Details

I. General information

NPI: 1205919446
Provider Name (Legal Business Name): ALEXANDRA MARIE HARRINGTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 W WISCONSIN AVE DEPARTMENT OF PATHOLOGY
MILWAUKEE WI
53226-3522
US

IV. Provider business mailing address

9200 W WISCONSIN AVE DEPARTMENT OF PATHOLOGY
MILWAUKEE WI
53226-3522
US

V. Phone/Fax

Practice location:
  • Phone: 414-805-8441
  • Fax: 414-805-6980
Mailing address:
  • Phone: 414-805-8441
  • Fax: 414-805-6980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License Number48581
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: