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Individual

ALISA PANTANAKASAME YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1801 BRIARWOOD CIR, ANN ARBOR, MI 48108-3347
(734) 539-5000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301092188
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/02/2008
Last updated
03/25/2024
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