Individual
ALISON LEIGH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1560 E SHERMAN BLVD STE 250, MUSKEGON, MI 49444-1854
(231) 672-8145
(231) 672-6179
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 672-8145
(231) 672-6179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007485
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N34010
MEDICARE GROUP PTAN
MI
01
—
0N94150
MEDICARE GROUP PTAN
MI
Enumeration date
09/09/2015
Last updated
01/28/2022
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