Alexandra Deporre
Alexandra Deporre is an Anesthesiology in Detroit, Michigan. Qualified in 2015, 11 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 11
- Licensed in
- MI
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
2799 W Grand BlvdDetroit, MI 48202-2608
Phone: (313) 948-1478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence 4301502122 (MI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (MI) |
Record details
| NPI number | 1467831065 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 28, 2015 |
| Last updated in NPPES | March 2, 2021 |
| Certification date | March 2, 2021 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Henry Ford Health System — 2540 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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