Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALEXANDRA MARIE MENILLO, D.O.
Active Sole ProprietorDR. ALEXANDRA MARIE MENILLO, D.O. is a Pediatric Cardiology healthcare provider located in GRAND RAPIDS, Michigan. NPI 1770016636 is currently active in the NPPES registry. Verify at CMS.
Pediatric Cardiology · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1770016636
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 7, 2017 (9.1648779306907 yrs)
- Last Updated
- Dec 1, 2025
- Licenses
-
5101026148 (MI)5101026148 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25 MICHIGAN ST NE STE 4200GRAND RAPIDS, MI, 495032559Browse MI providers · Browse ZIP 49503
- Phone
- 6162679150
- Primary Specialty
-
Pediatric Cardiology
2080P0202X
- Additional Specialty
- Pediatric Cardiology
Other Pediatric Cardiology Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| YASSER AL KHATIB | MD | 1053311779 |
| DR. LINDA BARBARA PAULIKS | MD | 1013903947 |
| JEAN ANN BALLWEG | M.D. | 1043236730 |
| DR. SAMUEL J LACINA | MD | 1811091168 |
| MR. KIM J. LEE | M.D. | 1861587602 |
| MR. MICHAEL S FLORENTINE | MD | 1447345285 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.