Individual provider · Type 1 NPI

Alexis Olivia Ponder, DO

Student in an Organized Health Care Education/Training Program · Mount Clemens, MI

NPI number 1114717626 Active

Practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Call (586) 493-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X5151017173 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114717626

Alexis Olivia Ponder, DO's National Provider Identifier is 1114717626, issued on May 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mount Clemens, MI. The record was last updated on May 8, 2025.