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NPI Code Detail

MEDICARE: ALXMH LLC

MEDICARE: ALXMH LLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1962297853
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALXMH LLC
Provider Business Mailing Address
First Line : 1834 S CEDAR ST
Second Line :
City : IMLAY CITY
State : MI
Zip : 48444-9779
Country : US
Telephone Number : 810-721-0000
Fax Number : 821-721-0003
Provider Business Practice Location Address
First Line : 1834 S CEDAR ST
Second Line :
City : IMLAY CITY
State : MI
Zip : 48444-9779
Country : US
Telephone Number : 810-721-0000
Fax Number : 821-721-0003
Authorized Official
Title or Position : OWNER
Name : MAURILIO HERNANDEZ
Credential : MD
Telephone Number : 810-721-0000
Provider Enumeration Date : 04/11/2025
Last Update Date : 04/11/2025

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Directions to “ALXMH LLC ” Practice Location

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