Individual
EBONY MICHELLE ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(488) 583-6252
Mailing address
24 FRANK LLOYD WRIGHT DR # J2000, ANN ARBOR, MI 48105-9484
(734) 764-0231
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
32489
MS
2084P0800X
Psychiatry Physician
4301114459
MI
2084P0800X
Psychiatry Physician
Primary
4301504102
MI
2084P0800X
Psychiatry Physician
69518
TN
Other
Enumeration date
03/30/2018
Last updated
11/08/2023
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