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Individual

ALYSSA R PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1080 N 35TH ST, GALESBURG, MI 49053-9727
(269) 665-7043
Mailing address
8465 SHIRLEY CT APT 8, PORTAGE, MI 49024-4768
(810) 845-1933

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012324
MI

Other

Enumeration date
04/17/2024
Last updated
04/17/2024
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