Provider Demographics
NPI:1285923045
Name:ALCID, FELIZA ACHACOSO (MD)
Entity type:Individual
Prefix:DR
First Name:FELIZA
Middle Name:ACHACOSO
Last Name:ALCID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7940 ASHWOOD DR SE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301-9208
Mailing Address - Country:US
Mailing Address - Phone:616-682-9544
Mailing Address - Fax:616-682-9544
Practice Address - Street 1:7940 ASHWOOD DR SE
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:MI
Practice Address - Zip Code:49301-9208
Practice Address - Country:US
Practice Address - Phone:616-682-9544
Practice Address - Fax:616-682-9544
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301055774207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology