Individual
ALICE C. WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44000 W 12 MILE RD STE 103, NOVI, MI 48377
(248) 946-4787
(248) 716-5956
Mailing address
44000 W 12 MILE RD STE 103, NOVI, MI 48377-2646
(248) 946-4787
(248) 308-2450
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301072406
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0932592
BCBS PIN
—
Enumeration date
11/02/2006
Last updated
06/14/2021
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