Basic Information
| Provider Information | |||||||||
| NPI: | 1447697164 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALPERIN | ||||||||
| FirstName: | JESSIE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 29992 NORTHWESTERN HWY STE C | ||||||||
| Address2: | |||||||||
| City: | FARMINGTON HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483343292 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2488511423 | ||||||||
| FaxNumber: | 2488515319 | ||||||||
| Practice Location | |||||||||
| Address1: | 11885 E 12 MILE RD STE 100B | ||||||||
| Address2: | |||||||||
| City: | WARREN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480933465 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5867517515 | ||||||||
| FaxNumber: | 5867511302 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2013 | ||||||||
| LastUpdateDate: | 05/04/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 4301103135 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RR0500X | 4301103135 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.