Individual
ALISON UZIEBLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 W 13 MILE, ROYAL OAK, MI 48073-6769
(248) 423-3144
Mailing address
3601 W 13 MILE, 400 FSC - PCS, ROYAL OAK, MI 48073-6769
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
4301070142
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301070142
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220F349850
BCBSM
MI
05
—
4618857
—
MI
Enumeration date
03/24/2006
Last updated
10/02/2008
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