Search › Wisconsin › 164W00000X
Theodore Alexander
NPI 1033233143 · on the registry since 2007 · sole proprietor
Practice
- Address
- 538 W Fransee Ln
Glendale, WI 53217 - Phone
- (414) 587-6874
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin