Individual
ALYSSA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 E MICHIGAN AVE STE 300, JACKSON, MI 49201-1853
(517) 205-1431
Mailing address
1201 E MICHIGAN AVE STE 300, JACKSON, MI 49201-1853
(517) 205-1431
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
2000052659
MI
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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