Individual
DR. ALISON MARIE PREMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 WEST GRAND BLD., 4TH FLOOR, DETROIT, MI 48202
(866) 600-2273
Mailing address
715 N OLD WOODWARD AVE, BIRMINGHAM, MI 48009-1320
(773) 621-3027
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301097666
MI
390200000X
Student in an Organized Health Care Education/Training Program
125050142
IL
Other
Enumeration date
06/10/2007
Last updated
12/14/2010
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