Individual
MRS. ALISHA A WASILEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
580 W MAGNETIC ST, MARQUETTE, MI 49855-2713
(906) 250-7979
Mailing address
209 N 5TH ST, MARQUETTE, MI 49855-4103
(906) 361-3220
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601005828
MI
Other
Enumeration date
01/27/2006
Last updated
02/24/2011
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