Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101020625 | MI |
NPI | 1932549375 |
---|---|
Provider Name | Dr. Alexander Peter Bill |
First Address | Mount Clemens, MI 48043-5748 |
Second Address | Saint Clair Shores, MI 48080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2013 |
Last Update Date | 06/12/2018 |