Individual
ALLISON MEREDITH JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19229 MACK AVE STE 18, GROSSE POINTE WOODS, MI 48236-2857
(313) 647-3222
(313) 647-3155
Mailing address
19229 MACK AVE STE 18, GROSSE POINTE WOODS, MI 48236-2857
(313) 647-3222
(313) 647-3155
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
4301097124
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H208910
BLUE CROSS
MI
05
—
1497960397
—
MI
Enumeration date
05/14/2007
Last updated
10/16/2014
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