Individual
ALISON DEMETRAKEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
54548 BERRYFIELD DR, MACOMB, MI 48042-2242
(616) 915-8737
Mailing address
54548 BERRYFIELD DR, MACOMB, MI 48042-2242
(616) 915-8737
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007098
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144620717
—
MI
Enumeration date
09/02/2014
Last updated
11/21/2016
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