IndividualActive
Alexandra Menillo, D.O.
NPI 1770016636 · Pediatric Cardiology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1770016636
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5101026148 (MI)
Practice location
25 Michigan St Ne Ste 4200
Grand Rapids, MI 49503-2559
Phone: (616) 267-9150
Mailing address
1 Ford Pl Ste 3a
Detroit, MI 48202-3450
Registry dates
- Enumerated
- 2017-04-07
- Last updated
- 2025-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.