Doctor Name: | ALEX S PAUL |
NPI Number: | 1144513060 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1225103419 |
Business Practice Address: | 1949 W 12 Mile Rd Suite 200 Berkley, MI - 480721868 |
Business Phone Number: | 2485433700 |
Business Fax Number: | 2485434180 |
Mailing Address: | 1949 W 12 Mile Rd, Suite 200 BERKLEY |
State: | MI |
Postal Code: | 480721868 |
Phone Number: | 2485433700 |
Fax Number: | 2485434180 |
NPI Enumeration Date: | 05/25/2011 |
NPI Last Update Date: | 05/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744R1102X |
License Number: | 1225103419 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Research Study |
Taxonomy Definition: |