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NPI Code Detail

MEDICARE: ALEXANDRA MCKINZIE MD

MEDICARE: ALEXANDRA MCKINZIE MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1235834953
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA MCKINZIE MD
Provider Business Mailing Address
First Line : 1364 W 58TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-2153
Country : US
Telephone Number : 317-771-9673
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 04/03/2023

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Directions to “ ALEXANDRA MCKINZIE MD” Practice Location

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