Individual
MRS. ALYSSA KATE GIRARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
21031 MICHIGAN AVE, DEARBORN, MI 48124-2339
(313) 277-6700
(313) 277-2483
Mailing address
3545 LINDEN ST, DEARBORN, MI 48124-4260
(313) 730-9146
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601005880
MI
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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