Individual
ASHLEIGH KAY WISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
361 N CANTON CENTER RD, CANTON, MI 48187-5096
(734) 495-1506
(734) 495-1780
Mailing address
4856 SPLIT RAIL DR, BRIGHTON, MI 48114-7517
(734) 495-1506
(734) 495-1780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010505
MI
363A00000X
Physician Assistant
Primary
PA10669
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370320911
—
TX
05
—
370320912
—
TX
Enumeration date
04/28/2015
Last updated
04/03/2026
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