Provider Demographics
NPI:1356723712
Name:KELSHEIMER, ALEXANDER JAMES (DO)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:JAMES
Last Name:KELSHEIMER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:370 120TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-2120
Mailing Address - Country:US
Mailing Address - Phone:616-396-2339
Mailing Address - Fax:877-592-0688
Practice Address - Street 1:370 120TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-2120
Practice Address - Country:US
Practice Address - Phone:616-396-2339
Practice Address - Fax:877-592-0688
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021007077207X00000X
MI5101027961207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery