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Contact Information

ALEX S BLAIVAS, MD
201 E LIBERTY ST
STE 23
ANN ARBOR, MI48104-2118
 Phone: 734-997-9729
 Fax: 734-997-9739
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ALEX S BLAIVAS · (Male)

NPI Number 1326268954
Status Active
Credentials MD
Entity Individual
Enumeration date 04/26/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301406730
  • MI Medicaid 2617799
  • MI Other 2608221962 BCBS
  • MI Other 4301406730 MI LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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