Individual
KATELYNN ALCORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4250 PLYMOUTH RD RM 2739, ANN ARBOR, MI 48109-2700
(734) 764-6879
Mailing address
4250 PLYMOUTH RD RM 2739, ANN ARBOR, MI 48109-2700
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351047549
MI
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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