# ALISSA MARIE MATTHEWS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265451884
- **Gender:** F
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 5601002704 | MI | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 11/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1018850 | MCCLAREN HEALTH PLAN | MI |
| 01 | — | P00307608 | METRA UNITED HEALTH | MI |