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Individual

ALYSON MARYANN GREENWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
23133 ORCHARD LAKE RD STE 100, FARMINGTON, MI 48336-3278
(248) 477-0100
(248) 477-6153
Mailing address
26901 BEAUMONT BLVD STE 100, SOUTHFIELD, MI 48033-3849
(947) 522-1862
(947) 522-0307

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301118931
MI

Other

Enumeration date
06/07/2016
Last updated
07/10/2019
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