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General NPI Number Information
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NPI Number | 1336258979
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Entity Type | Individual
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Provider Name | ALEXIS B. MICHAELS M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 7575 GRAND RIVER RD
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City | BRIGHTON
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State | MI
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Zip | 48114-9309
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Country | US
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Telephone | 248-504-0588
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Fax |
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Provider Business Mailing Address
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Address Line | 4337 E GRAND RIVER AVE # 208
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City | HOWELL
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State | MI
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Zip | 48843-6583
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Country | US
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Telephone | 248-504-0588
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301056369
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License Number State | MI
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