Individual
ALISSA M DEVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2562-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1086998
NCCPA CERT #
WI
05
—
1114247517
—
WI
Enumeration date
06/08/2010
Last updated
05/15/2017
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