| Doctor Name: | HEIDI LYNN ALEXANDER |
| NPI Number: | 1265413520 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 5601003543 |
| Business Practice Address: | 711 S Health Pkwy Suite 4 Three Rivers, MI - 490939387 |
| Business Phone Number: | 2692781265 |
| Business Fax Number: | 2692732454 |
| Mailing Address: | 701 S Health Pkwy, Medical Staff Office THREE RIVERS |
| State: | MI |
| Postal Code: | 490938352 |
| Phone Number: | 2692739789 |
| Fax Number: | 2692739611 |
| NPI Enumeration Date: | 11/14/2005 |
| NPI Last Update Date: | 10/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5601003543 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |