# ALYCE WHITTICO

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

## Provider details

- **NPI number:** 1295186252
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 5601007785 | MI | Yes |

## Other

- **Enumeration date:** 06/30/2016
- **Last updated:** 01/06/2021