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Individual
ALISSA MARIE MATTHEWS
Active
Individual
ALISSA MARIE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018850
MCCLAREN HEALTH PLAN
MI
01
—
P00307608
METRA UNITED HEALTH
MI
Enumeration date
07/18/2006
Last updated
11/29/2007
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