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Alexandra Marina Tangalos, MD
Student in an Organized Health Care Education/Training Program in South Lyon, Michigan
NPI 1952033383

Alexandra Marina Tangalos is a Student in an Organized Health Care Education/Training Program based in South Lyon, MI. Alexandra Marina Tangalos practices in South Lyon, MI and has the professional credentials of MD. The NPI Number for Alexandra Marina Tangalos is 1952033383 and holds a License No. (Michigan).

The current practice location address for Alexandra Marina Tangalos is 210 N Lafayette St, South Lyon, MI and can be reached out via phone at 248-437-6300 and via fax at 248-437-3245.

Location: 210 N Lafayette St, South Lyon, MI, 48178-2048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952033383
Provider Name
Alexandra Marina Tangalos
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
210 N Lafayette St, South Lyon, MI, 48178-2048
Phone Number
248-437-6300
Fax Number
248-437-3245
Provider Enumeration Date
06/24/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
210 N Lafayette St
City
South Lyon
State
Michigan
Zip
48178-2048
Phone Number
248-437-6300
Fax Number
248-437-3245
person
Provider Business Mailing Address Details
Address
210 N Lafayette St
City
South Lyon
State
Michigan
Zip
48178-2048
Phone Number
248-437-6300
Fax Number
248-437-3245
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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