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NPI Code Detail

MEDICARE: DR. ALEXANDER A LEVITAN M.D.

MEDICARE:  DR. ALEXANDER A LEVITAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RX0202XMedical Oncology Physician17970MN

General Provider Information

NPI Number : 1043423437
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDER A LEVITAN M.D.
Provider Business Mailing Address
First Line : 2051 LONG LAKE ROAD
Second Line :
City : NEW BRIGHTON
State : MN
Zip : 55112-5166
Country : US
Telephone Number : 651-633-2081
Fax Number :
Provider Business Practice Location Address
First Line : 2051 LONG LAKE ROAD
Second Line :
City : NEW BRIGHTON
State : MN
Zip : 55112-5166
Country : US
Telephone Number : 651-633-2081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ALEXANDER A LEVITAN M.D.” Practice Location

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