IndividualActive
Alexandra Vidovska
NPI 1679394183 · Nurse Practitioner · Clinton Township, MI
Provider details
- NPI number
- 1679394183
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704321932 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone: (586) 203-1195
Fax: (313) 876-1305
Approximate (ZIP-level) locationGet directions
Mailing address
1 Ford Pl Ste 3a
Detroit, MI 48202-3450
Additional practice locations (1)
- 47911 Sandy Ridge DrMacomb, MI 48044-5921Phone: (586) 909-5999
Registry dates
- Enumerated
- 2024-10-18
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.