Individual
ALISA FUNKE
Active
Individual
ALISA FUNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101260110
VA
207N00000X
Dermatology Physician
M11258
ID
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
0101260110
VA
207ND0101X
MOHS-Micrographic Surgery Physician
M11258
ID
Other
Enumeration date
03/07/2007
Last updated
11/29/2022
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