Provider Demographics
NPI:1093139065
Name:DUNHAM, ALEXANDRA MILLER (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:MILLER
Last Name:DUNHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:MARIE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:110 S PACA STREET
Mailing Address - Street 2:6TH FLOOR, STE 300, ORTHOPAEDIC SURGERY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1642
Mailing Address - Country:US
Mailing Address - Phone:410-328-6040
Mailing Address - Fax:
Practice Address - Street 1:110 S PACA STREET
Practice Address - Street 2:6TH FLOOR, STE 300, ORTHOPAEDIC SURGERY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-328-6040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-12
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0097308207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic SurgeryGroup - Single Specialty