Individual
ALYSSA GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
403 ROYAL AVE, ROYAL OAK, MI 48073-2538
(248) 921-9803
Mailing address
403 ROYAL AVE, ROYAL OAK, MI 48073-2538
(248) 921-9803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008960
MI
Other
Enumeration date
01/17/2019
Last updated
05/28/2025
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