Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RX0202X | Medical Oncology | 5101006356 | MI |
NPI | 1164694584 |
---|---|
Provider Name | Alexandra Krot |
First Address | Bloomfield Hills, MI 48301 |
Second Address | Bloomfield Hills, MI 48301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2008 |
Last Update Date | 26/03/2008 |