MEDICARE: DR. ALEXANDER MICHAEL III 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
1	208600000X	Surgery Physician	35043973	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699846089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER MICHAEL III M.D.

Provider Business Mailing Address
First Line	:	1550 YANKEE PARK PL
Second Line	:	STE A
City	:	DAYTON
State	:	OH
Zip	:	45458-1838
Country	:	US
Telephone Number	:	937-853-8014
Fax Number	:	540-684-6181

Provider Business Practice Location Address
First Line	:	1550 YANKEE PARK PL
Second Line	:	STE A
City	:	DAYTON
State	:	OH
Zip	:	45458-1838
Country	:	US
Telephone Number	:	937-853-8014
Fax Number	:	540-684-6181

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	06/19/2017

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