Individual
ALYSSA STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
42621 GARFIELD RD STE 108, CLINTON TWP, MI 48038-5031
(586) 263-3312
Mailing address
36030 KINGSLAND CT, CLINTON TWP, MI 48035-1145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008194
MI
Other
Enumeration date
05/31/2017
Last updated
04/23/2019
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