Provider Demographics
NPI:1851363592
Name:ALEXANDER, JANICE H (MD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:H
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W62N225 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53012-2726
Mailing Address - Country:US
Mailing Address - Phone:262-376-1150
Mailing Address - Fax:262-376-1154
Practice Address - Street 1:W62N225 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CEDARBURG
Practice Address - State:WI
Practice Address - Zip Code:53012-2726
Practice Address - Country:US
Practice Address - Phone:262-376-1150
Practice Address - Fax:262-376-1154
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI29958207Q00000X
WI29958-020207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31473500Medicaid
WIB48622Medicare UPIN
WI31473500Medicaid
WI011053000Medicare Oscar/Certification