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NPI Code Detail

MEDICARE: ALEXIS HUNTER M.A.

MEDICARE: ALEXIS HUNTER M.A.
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
11744R1102XResearch Study Specialist

General Provider Information

NPI Number : 1902290844
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS HUNTER M.A.
Provider Business Mailing Address
First Line : 19436 PACKARD ST
Second Line :
City : DETROIT
State : MI
Zip : 48234-3195
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19436 PACKARD ST
Second Line :
City : DETROIT
State : MI
Zip : 48234-3195
Country : US
Telephone Number : 313-231-6049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2015
Last Update Date : 03/27/2015

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